MR. Shane Potis, QIDP
NPI #1952752594 in Huntington Woods, Michigan
Provider Information
- NPI Number
- 1952752594
- Entity Type
- Individual
- Name
- MR. Shane Potis, QIDP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- QIDP
- Enumeration Date
- Jun 24, 2016
- Last Updated
- Sep 4, 2024
Practice Location
- Address
- 13313 VICTORIA AVE
- City
- Huntington Woods
- State
- Michigan
- ZIP Code
- 48070-1720
- Phone
- (586) 604-5276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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Organizations
| Provider Name | |
|---|---|
| Goodwill Industries of Greater Detroit |
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