JOHN J. POTENTE P.C.
Ambulatory Health at Prairie St, Wyoming, MI

License number
Michigan 2301004828
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. JOHN JOSEPH POTENTE D.C.
Title: PRESIDENT
Phone: (616) 249-1800
Address
Address
3181 Prairie St SW SUITE 105, Wyoming, MI 49418
National Provider ID: 1639334626
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JOHN J. POTENTE, PC

Wyoming, MI  -  Grand Rapids, MI

Registration:
Jun 20, 1997
Addresses:
5896 Barcroft Dr SW, Grandville, MI 49418 (Physical)
1675 Michigan St NE STE D, Grand Rapids, MI 49503 (Mailing)
State ID:
478725
Business type:
Domestic Professional Service Corporation
Agent:
John J. Potente

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