Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

North Star Podiatric Lab, Inc

Organization Prosthetic/Orthotic Supplier · NPI 1962409995

North Star Podiatric Lab, Inc is a Prosthetic/Orthotic Supplier in Hugo, Minnesota. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13419 Fenway Blvd N Ste 101
Hugo, MN 55038-7465
Phone: (651) 426-9388
Fax: (651) 426-7450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1962409995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Wagner — Certified Pedorthist · (651) 426-9388
NPI enumeratedJuly 5, 2005
Last updated in NPPESMay 11, 2020
Certification dateMay 11, 2020
Mailing address13419 Fenway Blvd N, Suite 101, Hugo, MN 55038-7465

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