# ALLINA HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Allina Health Weight Management - Abbott Northwestern
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154684835
- **Authorized official:** DOMINICA TALLARICO (COO)
- **Authorized official phone:** (612) 222-2222

## Contact information

- **Practice address:** 920 E 28TH ST STE 460, MINNEAPOLIS, MN 55407-1286
- **Practice address phone:** (612) 863-7501
- **Practice address fax:** (612) 863-8900
- **Mailing address:** PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
- **Mailing address phone:** (612) 262-1166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | NULL | — |
| 2083B0002X | Obesity Medicine (Preventive Medicine) Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/19/2012
- **Last updated:** 01/15/2025