Gitte M Wengler (NPI# 1528063500, PAC ID# 2264474675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1528063500 |
| PAC ID by PECOS | 2264474675 |
| Professional Enrollment ID | I20050525001143 |
| Full Name | Gitte M Wengler |
| Organization Legal Name | SOUTH LAKE CLINIC, P.A. |
| Address |
800 Prairie Ctr Dr Suite 120 Eden Prairie MN 55344-7329 |
| Phone Number | 9524018300 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1991 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 3173500303 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 800 Prairie Ctr Dr, Suite 120, Eden Prairie, MN 55344-7329 | 9524018300 | SOUTH LAKE CLINIC, P.A. |
| Organization Legal Name | SOUTH LAKE CLINIC, P.A. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy G Hall | Pediatric Medicine | South Lake Clinic, P.a. | 800 Prairie Ctr Dr, Suite 120, Eden Prairie, MN 55344-7329 |
| Dale T Dobrin | Pediatric Medicine | South Lake Clinic, P.a. | 800 Prairie Ctr Dr, Suite 120, Eden Prairie, MN 55344-7329 |
| Peggy A Hickey | Pediatric Medicine | South Lake Clinic, P.a. | 800 Prairie Ctr Dr, Suite 120, Eden Prairie, MN 55344-7329 |
| Street Address |
800 PRAIRIE CTR DR SUITE 120 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip | 55344-7329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea R Petersen | Physician Assistant | Premier Obgyn of Minnesota Pa | 800 Prairie Ctr Dr, Suite 130, Eden Prairie, MN 55344-7329 |
| Tracy G Hall | Pediatric Medicine | South Lake Clinic, P.a. | 800 Prairie Ctr Dr, Suite 120, Eden Prairie, MN 55344-7329 |
| Dale T Dobrin | Pediatric Medicine | South Lake Clinic, P.a. | 800 Prairie Ctr Dr, Suite 120, Eden Prairie, MN 55344-7329 |
| Bradley D Wildberg | Chiropractic | Southwest Chiropractic LLC | 800 Prairie Ctr Dr, Suite 200, Eden Prairie, MN 55344-7306 |
| David E Stude | Chiropractic | Southwest Chiropractic LLC | 800 Prairie Ctr Dr, Suite 200, Eden Prairie, MN 55344-7306 |
| Jennifer L Waite | Physician Assistant | Premier Obgyn of Minnesota Pa | 800 Prairie Ctr Dr, Suite 130, Eden Prairie, MN 55344-7329 |
| Debra G Boersma | Certified Nurse Midwife | Premier Obgyn of Minnesota Pa | 800 Prairie Ctr Dr, Suite 130, Eden Prairie, MN 55344-7329 |
| Peggy A Hickey | Pediatric Medicine | South Lake Clinic, P.a. | 800 Prairie Ctr Dr, Suite 120, Eden Prairie, MN 55344-7329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas G Frey | Psychologist, Clinical | 7525 Mitchell Rd, Suite 217, Eden Prairie, MN 55344-1957 | |
| Brent Alexander Kvam | Chiropractic | Healthstar Chiropractic Center Pa | 7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344-1958 |
| Jordan Boekhout | Chiropractic | Healthstar Chiropractic Center Pa | 7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344-1958 |
| Katherine E Kearney-bidwell | Chiropractic | Healthsource of Eden Prairie Pllc | 7920 Mitchell Rd, Eden Prairie, MN 55344-2218 |
| Dillon Andrew Riehle | Chiropractic | Healthsource of Eden Prairie Pllc | 7920 Mitchell Rd, Eden Prairie, MN 55344-2218 |
| Mallory A Skoff | Chiropractic | 7920 Mitchell Rd, Eden Prairie, MN 55344-2218 | |
| Elizabeth A Crowl | Physician Assistant | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Quincee Lynn Macgibbon | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Stephanie Augustin | Nurse Practitioner | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Robert J Zajac | Pediatric Medicine | New Kingdom Pediatrics LLC | 6452 City W Pkwy, Eden Prairie, MN 55344-3245 |
| Find all physicians in zip 55344 | |||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | EDEN PRAIRIE + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Gitte M Wengler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.