| Laith Potrous Md Pllc | |
|
5843 17 Mile Rd Sterling Heights MI 48310-6873 | |
| (586) 549-7286 | |
| Not Available |
| Full Name | Laith Potrous Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5843 17 Mile Rd, Sterling Heights, Michigan |
| Authorized Official Name and Position | Laith Potrous (OWNER) |
| Authorized Official Contact | 5865497286 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laith Potrous Md Pllc 5843 17 Mile Rd Sterling Heights MI 48310-6873 Ph: (586) 549-7286 | Laith Potrous Md Pllc 5843 17 Mile Rd Sterling Heights MI 48310-6873 Ph: (586) 549-7286 |
| NPI Number | 1861155772 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 07/31/2023 |
| Medicare PECOS PAC ID | 4880087386 |
|---|---|
| Medicare Enrollment ID | O20220204001587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861155772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laith M Potrous |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487073615 PECOS PAC ID: 7416259791 Enrollment ID: I20171027000263 |
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