South Lake Clinic, PA
South Lake Clinic, PA is a Pediatrics Physician in Plymouth, Minnesota. Registered with an NPI since 2013.
- In the registry since
- 2013
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
15535 34th Ave N Ste 100Plymouth, MN 55447-2170
Phone: (952) 401-8300
Fax: (952) 401-8243
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1689005902 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Heidi Northrup — Administrator · (952) 401-8300 |
| Other names | South Lake Pediatrics; South Lake Pediatrics |
| NPI enumerated | December 12, 2013 |
| Last updated in NPPES | September 14, 2023 |
| Certification date | September 14, 2023 |
| Mailing address | 17705 Hutchins Dr Ste 250, Minnetonka, MN 55345-4103 |
Other providers in Plymouth
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Jason P Raasch, MD
15700 37th Ave N Suites 110 & 230, Plymouth, MN 55446-3399 · (763) 577-0008
-
MS. Anna G. Rakovshik, MD
4155 County Road 101 N, Plymouth, MN 55446-2307 · (952) 993-8900
-
Dr. Megan M. Reilly, MD
2855 Campus Dr #350, Plymouth, MN 55441-2649 · (763) 520-1200
-
Dr. Gregg J. Savitt, MD
2855 Campus Dr #350, Plymouth, MN 55441-2649 · (763) 520-1200