Organization · Type 2 NPI
South Lake Clinic, PA
Pediatrics Physician · Plymouth, MN
Practice location
15535 34th Ave N Ste 100
Plymouth, MN 55447-2170
Fax (952) 401-8243
Mailing address
17705 Hutchins Dr Ste 250
Minnetonka, MN 55345-4103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician Primary | 208000000X | None listed |
Pediatrics Physician: 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 de…
Another provider at this address
About NPI 1689005902
South Lake Clinic, PA's National Provider Identifier is 1689005902, issued on Dec 12, 2013. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Plymouth, MN. The record was last updated on Sep 28, 2026.