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NPI 1962409995

OrganizationActive

North Star Podiatric Lab, Inc.

NPI 1962409995 · Prosthetic/Orthotic Supplier · Hugo, MN

Provider details

NPI number: 1962409995
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Authorized official: Terri Wagner, Certified Pedorthist

Practice location

13419 Fenway Blvd N

Suite 101

Hugo, MN 55038-7465

Phone: (651) 426-9388

Fax: (651) 426-7450

More MN providers

Mailing address

13419 Fenway Blvd N

Hugo, MN 55038-7465

Registry dates

Enumerated: 2005-07-05
Last updated: 2020-05-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

North Star Podiatric Lab, Inc. — NPI 1962409995, Hugo, MN | NPI Central