SOUTH LAKE CLINIC, PA

Pediatrics Physician

NPI: 1780015008Organization

Specialties, Licenses & Credentials

Pediatrics PhysicianPrimary

Pediatrics

Code: 208000000X

Contact & Hours

Address: 111 HUNDERTMARK RD STE 210
CHASKA, MN 55318
Phone: (952) 401-8300

Quick Facts

NPI: 1780015008
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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