SearchMichigan171M00000X

Shane Potis, QIDP

NPI 1952752594 · on the registry since 2016 · sole proprietor

Practice

Address
13313 Victoria Ave
Huntington Woods, MI 48070
Phone
(586) 604-5276

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2024-09-04

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 Michigan