Individual provider · Type 1 NPI

Lee Richard Potratz, PA-C, ATC

Surgical Physician Assistant · Bemidji, MN

NPI number 1891787131 Active

Practice location

1300 Anne St NW
Bemidji, MN 56601-5103

Call (218) 751-9746 Map

Mailing address

1233 34th St NW
Bemidji, MN 56601-5112

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300X1402 (MN)
Physician Assistant 363A00000X10848 (MN)
Surgical Physician Assistant Primary 363AS0400X10848 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1891787131

Lee Richard Potratz, PA-C, ATC's National Provider Identifier is 1891787131, issued on Aug 22, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bemidji, MN. The record was last updated on Oct 4, 2019.