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South Lake Clinic, Pa
Pediatrics Physician in Maple Grove, Minnesota
NPI 1770914095

South Lake Clinic, Pa is a Pediatrics Physician based in Minnetonka, MN. South Lake Clinic, Pa practices in Maple Grove, MN. The NPI Number for South Lake Clinic, Pa is 1770914095 and holds a License No. (Minnesota).

The current practice location address for South Lake Clinic, Pa is 12000 Elm Creek Blvd N Ste 250, Maple Grove, MN and can be reached out via phone at 952-401-8300 and via fax at 952-401-8243.

Location: 12000 Elm Creek Blvd N Ste 250, Maple Grove, MN, 55345-4103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770914095
Provider Name
South Lake Clinic, Pa
Credential
Provider Entity Type
Organization
Address
12000 Elm Creek Blvd N Ste 250, Maple Grove, MN, 55345-4103
Phone Number
952-401-8300
Fax Number
952-401-8243
Provider Enumeration Date
12/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12000 Elm Creek Blvd N Ste 250
City
Maple Grove
State
Minnesota
Zip
55369-7164
Phone Number
952-401-8300
Fax Number
952-401-8243
person
Provider Business Mailing Address Details
Address
12000 Elm Creek Blvd N Ste 250
City
Maple Grove
State
Minnesota
Zip
55369-7164
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.
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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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