NPI 1962409995

North Star Podiatric Lab, INC.

Organisation Prosthetic/Orthotic Supplier Hugo, MN

Practice location

Address: 13419 Fenway Blvd N Suite 101, Hugo, MN 55038-7465
Phone: (651) 426-9388
Fax: (651) 426-7450

Authorised official

Name: Terri Wagner
Title: Certified Pedorthist
Phone: (651) 426-9388

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1962409995
Entity type: Organization
NPI issued: 5 Jul 2005
Record last updated: 11 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.