NPI 1225292469

Tina L Potokar, MSPAC

Practitioner Physician Assistant Neenah, WI

Practice location

Address: 1380 Tullar Rd, Neenah, WI 54956-4440
Phone: (920) 727-3480
Fax: (920) 727-3490
Mailing address: PO Box 8003, Appleton, WI 54912-8003

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 3418 (WI)

Other Physician Assistant providers in Wisconsin →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10438 (MN)

Registry record

NPI: 1225292469
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2008
Record last updated: 20 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.