SearchWisconsin1223G0001X

Jason Potrykus, D.D.S

NPI 1124254644 · on the registry since 2009 · sole proprietor

Practice

Address
213 Railroad St
Eagle River, WI 54521
Phone
(715) 479-4686
Fax
(715) 479-5281

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-06-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin