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

South Lake Clinic, PA

Organization Pediatrics Physician · NPI 1427027184

South Lake Clinic, PA is a Pediatrics Physician in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17705 Hutchins Dr Ste 101
Minnetonka, MN 55345-4145
Phone: (952) 401-8300
Fax: (952) 401-8243
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 556 (MN)

Record details

NPI number1427027184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dale Dobrin — Owner/Medical Director · (952) 401-8300
Other names South Lake Pediatrics
NPI enumeratedMarch 15, 2006
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024
Mailing address17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345-4145

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