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Organization

ALLINA HEALTH SYSTEM

Active
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Organization

ALLINA HEALTH SYSTEM

Active
Other names
Allina Health Apple Valley Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization

Contact information

Practice address
14655 GALAXIE AVE, APPLE VALLEY, MN 55124-8602
(952) 432-6161
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
10/03/2019
Last updated
02/25/2025
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