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South Lake Clinic, P.a.
Pediatrics Physician in Minnetonka, Minnesota
NPI 1427027184

South Lake Clinic, P.a. is a Pediatrics Physician based in Minnetonka, MN. South Lake Clinic, P.a. practices in Minnetonka, MN. The NPI Number for South Lake Clinic, P.a. is 1427027184 and holds a License No. 556 (Minnesota).

The current practice location address for South Lake Clinic, P.a. is 17705 Hutchins Dr, Minnetonka, MN and can be reached out via phone at 952-401-8300 and via fax at 952-401-8243.

Location: 17705 Hutchins Dr, Minnetonka, MN, 55345-4145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427027184
Provider Name
South Lake Clinic, P.a.
Credential
Provider Entity Type
Organization
Address
17705 Hutchins Dr, Minnetonka, MN, 55345-4145
Phone Number
952-401-8300
Fax Number
952-401-8243
Provider Enumeration Date
03/15/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
16623SO 01 MN BCBS
091010400 05 MN
institution
Provider Business Practice Location Address Details
Address
17705 Hutchins Dr
City
Minnetonka
State
Minnesota
Zip
55345-4145
Phone Number
952-401-8300
Fax Number
952-401-8243
person
Provider Business Mailing Address Details
Address
17705 Hutchins Dr
City
Minnetonka
State
Minnesota
Zip
55345-4145
Phone Number
952-401-8300
Fax Number
952-401-8243
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
556 (Minnesota)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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