| Dr Sawyer Lee Clement, | |
|
300 Lake Dr E, Chanhassen, MN 55317-9302 | |
| (952) 993-4300 | |
| Not Available |
| Full Name | Dr Sawyer Lee Clement |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 300 Lake Dr E, Chanhassen, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508486994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | R-12128 (Iowa) | Secondary |
| 208000000X | Pediatrics | 77047 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sawyer Lee Clement, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Dr Sawyer Lee Clement, 300 Lake Dr E, Chanhassen, MN 55317-9302 Ph: (952) 993-4300 |
Dr. Erin Butterfield, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 | |
Douglas Martin, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 | |
Serena L Rosen, Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 | |
Karin L. Mulrooney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 Fax: 952-993-4320 |