IndividualActive
Dennis Potabenko, H.I.S
NPI 1356705396 · Hearing Instrument Specialist · Crystal, MN
Provider details
- NPI number
- 1356705396
- Entity type
- Individual
- Primary specialty
- Hearing Instrument SpecialistSpeech, Language and Hearing Service Providers
- Credential
- H.I.S
- Sex
- Male
- Sole proprietor
- No
- License
- 2778 (MN)
Practice location
5640 W Broadway Ave Ste B
Crystal, MN 55428-3567
Phone: (763) 533-5722
Fax: (763) 533-5654
Mailing address
5640 W Broadway Ave Ste B
Crystal, MN 55428-3567
Registry dates
- Enumerated
- 2016-04-06
- Last updated
- 2016-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.