Tjaden Mccloud Potter, CPM, LM

NPI #1639914336 in Tomah, Wisconsin

Provider Information

NPI Number
1639914336
Entity Type
Individual
Name
Tjaden Mccloud Potter, CPM, LM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Midwife
Credential
CPM, LM
Enumeration Date
Jun 26, 2024
Last Updated
Jun 26, 2024

Practice Location

Address
23675 DESTINY AVE
City
Tomah
ZIP Code
54660-4371
Phone
(608) 639-0356

Specialties & Taxonomy Codes

Specialty
Midwife

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