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

Wayzata Children's Clinic PA

Organization Pediatrics Physician · NPI 1023081577

Wayzata Children's Clinic PA is a Pediatrics Physician in Minnetonka, Minnesota. Registered with an NPI since 2006.

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

14001 Ridgedale Dr #100
Minnetonka, MN 55305-1753
Phone: (952) 473-0211
Fax: (952) 473-7908
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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 number1023081577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Engelbrekt — President · (952) 473-0211
NPI enumeratedFebruary 7, 2006
Last updated in NPPESApril 5, 2017
Mailing address14001 Ridgedale Dr, 100, Minnetonka, MN 55305-1753

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