SOUTH LAKE CLINIC, PA is a pediatrics in Maple Grove, MN. The provider is 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 development. SOUTH LAKE CLINIC, PA NPI is 1770914095. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As South Lake Pediatrics.
The provider's business location address is:
12000 ELM CREEK BLVD N STE 250
MAPLE GROVE, MN
ZIP 55369-164
Phone: (952) 401-8300
Fax: (952) 401-8243
The provider's authorized official is Heidi Northrup .
The authorized official title is Administrator and has the following contact phone number (952) 401-8300.
The enumeration date for this NPI number is 12/12/2013 and was last updated on 8/29/2023.