South Lake Clinic, PA
South Lake Clinic, PA is a Pediatrics Physician in Chaska, 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
111 Hundertmark Rd Ste 210Chaska, MN 55318-1196
Phone: (952) 401-8300
Fax: (952) 401-8243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X |
|---|
Record details
| NPI number | 1780015008 |
|---|---|
| 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 | August 29, 2023 |
| Certification date | August 29, 2023 |
| Mailing address | 17705 Hutchins Dr Ste 250, Minnetonka, MN 55345-4103 |
Other providers in Chaska
-
Fairview Express Care
111 Hundertmark Rd Ste 210, Chaska, MN 55318-1196 · (952) 401-8300
-
Jeffrey Thomas Humbert, MD
111 Hundertmark Rd Ste 420, Chaska, MN 55318-1459 · (952) 448-3847
-
Carrie Ann Muench, MD
111 Hundertmark Rd #420, Chaska, MN 55318-1459 · (952) 448-3847
-
Lorene Elaine Rutherford, MD
3000 Hundertmark Rd, Chaska, MN 55318-1150 · (952) 556-0120