MEDICARE: LAITH MATTI POTROUS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4301105756	MI

General Provider Information

NPI Number	:	1487073615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAITH MATTI POTROUS MD

Provider Business Mailing Address
First Line	:	5843 17 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-6873
Country	:	US
Telephone Number	:	586-722-7741
Fax Number	:	586-883-9970

Provider Business Practice Location Address
First Line	:	5843 17 MILE RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48310-6873
Country	:	US
Telephone Number	:	586-722-7741
Fax Number	:	586-883-9970

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	02/09/2022

Similar Medicare Providers

1497598759 — MEDMASTERS PHARMACY 3 LLC
Practice Location Address:

5815 17 MILE RD STE C
STERLING HEIGHTS, MI
48310-6873

Practice Phone: 586-800-8003
Practice Fax:

1780265249 — DR. LENA TALAL MANSOUR MD.
Practice Location Address:

5843 17 MILE RD
STERLING HEIGHTS, MI
48310-6873

Practice Phone: 586-722-7741
Practice Fax: 586-883-9970

1861155772 — LAITH POTROUS MD PLLC
Practice Location Address:

5843 17 MILE RD
STERLING HEIGHTS, MI
48310-6873

Practice Phone: 586-549-7286
Practice Fax:

1366195760 — FAMILY CARE URGENT CARE PLLC
Practice Location Address:

5843 17 MILE RD
STERLING HEIGHTS, MI
48310-6873

Practice Phone: 586-549-7286
Practice Fax:

1134905730 — MEDMASTERS PHARMACY 2 LLC
Practice Location Address:

5815 17 MILE RD STE B
STERLING HEIGHTS, MI
48310-6873

Practice Phone: 586-800-8004
Practice Fax: 877-877-8134

1477310589 — MEDMASTERS PHARMACY 2 LLC
Practice Location Address:

5815 17 MILE RD STE B
STERLING HEIGHTS, MI
48310-6873

Practice Phone: 586-800-8004
Practice Fax: 877-308-0484

Directions to “ LAITH MATTI POTROUS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.