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North Star Podiatric Lab, Inc.
Prosthetic/Orthotic Supplier in Hugo, Minnesota
NPI 1962409995

North Star Podiatric Lab, Inc. is a Prosthetic/Orthotic Supplier based in Hugo, MN. North Star Podiatric Lab, Inc. practices in Hugo, MN. The NPI Number for North Star Podiatric Lab, Inc. is 1962409995 and holds a License No. (Minnesota).

The current practice location address for North Star Podiatric Lab, Inc. is 13419 Fenway Blvd N, Hugo, MN and can be reached out via phone at 651-426-9388 and via fax at 651-426-7450.

Location: 13419 Fenway Blvd N, Hugo, MN, 55038-7465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962409995
Provider Name
North Star Podiatric Lab, Inc.
Credential
Provider Entity Type
Organization
Address
13419 Fenway Blvd N, Hugo, MN, 55038-7465
Phone Number
651-426-9388
Fax Number
651-426-7450
Provider Enumeration Date
07/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
908817200 05 FM
26569NO 01 MN BLUE CROSS PROVIDER NUMBE
66 01 MN HEALTH PARTNERS PROVIDER
418173203 01 MN METRO HEALTH PLAN PROV NU
8214553 01 FM MEDICA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
13419 Fenway Blvd N
City
Hugo
State
Minnesota
Zip
55038-7465
Phone Number
651-426-9388
Fax Number
651-426-7450
person
Provider Business Mailing Address Details
Address
13419 Fenway Blvd N
City
Hugo
State
Minnesota
Zip
55038-7465
Phone Number
651-426-9388
Fax Number
651-426-7450
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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