Back to Search

SOUTH LAKE CLINIC, PA

Pediatrics Physician

NPI: 1770914095Organization

Specialties, Licenses & Credentials

Pediatrics PhysicianPrimary

Pediatrics

Code: 208000000X

Contact & Hours

Address
12000 ELM CREEK BLVD N STE 250
MAPLE GROVE, MN 55369

Quick Facts

NPI
1770914095
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

Are you this provider?

Claim Your Profile