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John J. Potente P.c.
Clinic/Center in Grandville, Michigan
NPI 1639334626

John J. Potente P.c. is a Clinic/Center based in Grandville, MI. John J. Potente P.c. practices in Grandville, MI. The NPI Number for John J. Potente P.c. is 1639334626 and holds a License No. 2301004828 (Michigan).

The current practice location address for John J. Potente P.c. is 3181 Prairie St Sw, Grandville, MI and can be reached out via phone at 616-249-1800.

Location: 3181 Prairie St Sw, Grandville, MI, 49418-2097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639334626
Provider Name
John J. Potente P.c.
Credential
Provider Entity Type
Organization
Address
3181 Prairie St Sw, Grandville, MI, 49418-2097
Phone Number
616-249-1800
Fax Number
Provider Enumeration Date
07/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
950D152200 01 MI BLUE CROSS& BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3181 Prairie St Sw
City
Grandville
State
Michigan
Zip
49418-2097
Phone Number
616-249-1800
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Prairie St Sw
City
Grandville
State
Michigan
Zip
49418-2097
Phone Number
616-249-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
2301004828 (Michigan)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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