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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARLA WILKS POTTER, PA-C

Active

CARLA WILKS POTTER, PA-C is a Physician Assistant healthcare provider located in LIVONIA, Michigan. NPI 1710297312 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LIVONIA, MI

Registration Details

NPI Number
1710297312
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2010 (15.811515544316 yrs)
Last Updated
Apr 25, 2012
Licenses
2497 (CT)
5601006325 (MI)

Practice Information

Address
17197 N LAUREL PARK DR
SUITE 161
LIVONIA, MI, 481522680
Browse MI providers · Browse ZIP 48152
Phone
7343388300
Fax
7343388301
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in LIVONIA, MI

Name Credential NPI
VARALAKSHMI VARRE PA 1891773891
JOANN VAN OAST P.A. 1134109531
BARBARA BERGESKI P.A. 1295705382
DANIELLE FRIEDRICH P.A. 1053381491
STEFANIE DICEA P.A.C. 1952378887
PAMELA H STEINBERG PAC 1508820150
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.