Organization · Type 2 NPI

South Lake Clinic, PA

Pediatrics Physician · Chaska, MN

NPI number 1780015008 Active

Practice location

111 Hundertmark Rd Ste 210
Chaska, MN 55318-1196

Fax (952) 401-8243

Mailing address

17705 Hutchins Dr Ste 250
Minnetonka, MN 55345-4103

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician Primary 208000000XNone 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…

2 other providers at this address

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About NPI 1780015008

South Lake Clinic, PA's National Provider Identifier is 1780015008, issued on Dec 12, 2013. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Chaska, MN. The record was last updated on Sep 28, 2026.