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1154090603
MICHAEL SCOTT POTTIEGER
WYNNEWOOD, PA
NPI
1154090603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PA MA062762)
Enumeration Date
2021-09-08
Last Update Date
2021-09-08
Business Address
MICHAEL SCOTT POTTIEGER PA-C
100 E LANCASTER AVENUE MEDICAL SCIENCE BLDG SUITE 275
WYNNEWOOD, PA 19096
Phone number: 610-642-1908
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Mailing Address
MICHAEL SCOTT POTTIEGER PA-C
1872 BRANDYWINE RD
WYOMISSING, PA 19610-2610
Phone number: 610-406-8568
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