| Karin L Mulrooney, MD | |
| 
					300 Lake Dr E, Chanhassen, MN 55317-9302  | |
| (952) 993-4300 | |
| (952) 993-4320 | 
| Full Name | Karin L Mulrooney | 
|---|---|
| Gender | Female | 
| 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 | 
|---|---|---|---|
| 1982677944 | NPI | - | NPPES | 
| 32531700 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 39118 (Wisconsin) | Secondary | 
| 208000000X | Pediatrics | 72878 (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 | 
|---|---|
| Karin L Mulrooney, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -  | Karin L Mulrooney, MD 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  | |
Dr. Sawyer Lee Clement,  Pediatrics Medicare: Medicare Enrolled 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  |