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Organization
ALLINA HEALTH SYSTEM
Active
Organization
ALLINA HEALTH SYSTEM
Active
Other names
Abbott Northwestern Hospital Plastic Surgery Services
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-3110
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 863-3110
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
02/24/2025
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