South Lake Clinic, PA
South Lake Clinic, PA provides Pediatrics Physician services in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.
- Licensed in
- MN
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
17705 Hutchins Dr Ste 101Minnetonka, MN 55345-4145
Phone: (952) 401-8300
Fax: (952) 401-8243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 556 (MN) |
|---|
Record details
| NPI number | 1427027184 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michael Garvis — Owner/Medical Director · (952) 401-8300 |
| Other names | South Lake Pediatrics |
| NPI enumerated | March 15, 2006 |
| Last updated in NPPES | September 28, 2026 |
| Certification date | September 28, 2026 |
| Mailing address | 17705 Hutchins Dr, Suite 101, Minnetonka, MN 55345-4145 |
Other providers in Minnetonka
-
Matthew S Segedy, MD
17705 Hutchins Dr, Minnetonka, MN 55345-4145 · (952) 401-8300
-
Dr. Crystal Singewald, MD
17705 Hutchins Dr Ste 100, Minnetonka, MN 55345-4145 · (952) 401-8300
-
Dr. Anne Meland Skemp, MD
17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4145 · (952) 401-8300
-
Dr. Laura Marie Solyntjes, MD
17705 Hutchins Dr Ste 101, Minnetonka, MN 55345-4102 · (952) 401-8300
-
South Lake Clinic, PA
6060 Clearwater Dr Ste 240, Minnetonka, MN 55343-9468 · (952) 401-8300
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Jenna Tassi, DO
17705 Hutchins Dr Ste 250, Minnetonka, MN 55345-4103 · (952) 401-8300
-
Wayzata Children's Clinic PA
14001 Ridgedale Dr #100, Minnetonka, MN 55305-1753 · (952) 473-0211
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Megan Bernadette Wong, MD
17705 Hutchins Dr Ste 100, Minnetonka, MN 55345-4145 · (952) 401-8300