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Contact Information

MICHAEL J POTEGAL, PHD
516 DELAWARE STREET SE
PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN55455
 Phone: 612-625-7466
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for MICHAEL J POTEGAL · (Male)

NPI # 1588748818
Status Active
Credentials PHD
Entity Individual
Enumeration date 10/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MN License # LP4310
  • MT Medicaid 0492031
  • ND Medicaid 10387
  • SD Medicaid 7777470
  • MN Other 1497309 ARAZ
  • MN Other 163A1PO BLUE CROSS BLUE SHIELD
  • MN Other HP40584 HEALTH PARTNERS
  • MN Other 1029892 PREFERRED ONE
  • MN Other 140910 UCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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