GARY POTVIN
NPI 1508019639
Contractor - Home Modifications in Big Lake, MN

Active since November 03, 2008
5619 LOON DR, BIG LAKE, MN 55309(612) 598-6626 Get Directions Write a Review

NPPES record last updated: November 3, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gary Potvin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY POTVIN (NPI 1508019639) is an individual home modifications provider in Big Lake, Minnesota and active in the NPI registry since November 2008.

NPPES Registry Identity

NPI1508019639
Entity TypeIndividualMale
Primary Taxonomy171WH0202X
Provider Legal NameGARY POTVIN
Location Address5619 LOON DRBig Lake, MN 55309-8984
Mailing Address5619 Loon DrBig Lake, MN 55309-8984 · (612) 598-6626
Sole ProprietorYes
Enumeration DateNovember 3, 2008
NPI 1508019639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractor · Home ModificationsOther Service Providers
Taxonomy Code171WH0202X
Definition
A contractor who makes modifications to homes to accommodate a health condition.
5619 LOON DR, Big Lake, MN 55309

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Point of Service
5619 LOON DR
BIG LAKE, MN 55309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Potvin's NPI number?

The NPI number for Gary Potvin is 1508019639. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Where is Gary Potvin located?

Gary Potvin practices at 5619 Loon Dr, Big Lake, MN 55309. The listed phone number is (612) 598-6626.

What is Gary Potvin's specialty?

The primary specialty registered for this NPI is Contractor, specializing in Home Modifications, with taxonomy code 171WH0202X.

When was this NPI record last updated?

The NPPES record for Gary Potvin was last updated on November 3, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.