IndividualActive
Gary Potvin
NPI 1508019639 · Home Modifications Contractor · Big Lake, MN
Provider details
- NPI number
- 1508019639
- Entity type
- Individual
- Primary specialty
- Home Modifications ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
5619 Loon Dr
Big Lake, MN 55309-8984
Phone: (612) 598-6626
Approximate (ZIP-level) locationGet directions
Mailing address
5619 Loon Dr
Big Lake, MN 55309-8984
Registry dates
- Enumerated
- 2008-11-03
- Last updated
- 2008-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.