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Organization
ALLINA HEALTH SYSTEM
Active
Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Eden Prairie Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
775 PRAIRIE CENTER DR STE 400, EDEN PRAIRIE, MN 55344-7322
(612) 262-1166
Mailing address
PO BOX 43, ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 261-1166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
09/09/2024
Last updated
02/28/2025
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