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SOUTH LAKE CLINIC, PA
Pediatrics Physician
NPI: 1689005902Organization
Specialties, Licenses & Credentials
Pediatrics PhysicianPrimary
Pediatrics
Code: 208000000X
Contact & Hours
- Address
- 15535 34TH AVE N STE 100
PLYMOUTH, MN 55447 - Phone
- (952) 401-8300
Quick Facts
- NPI
- 1689005902
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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