GARY POTVIN NPI 1508019639

NPI Information

  • NPI: 1508019639
  • Provider Name: GARY POTVIN
  • Classification: Contractor - 171WH0202X
  • Specialization: Home Modifications
  • Entity Type: Individual
  • Address: 5619 LOON DR
    BIG LAKE, MN
    ZIP 55309
  • Phone: (612) 598-6626

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NPI Details

Gary Potvin is a home modifications contractor in Big Lake, MN. The provider is a contractor who makes modifications to homes to accommodate a health condition. Gary Potvin NPI is 1508019639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5619 LOON DR
BIG LAKE, MN
ZIP 55309-984
Phone: (612) 598-6626

The enumeration date for this NPI number is 11/3/2008 and was last updated on 11/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171WH0202XContractorHome ModificationsMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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