# ALLINA HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Allina Health Orthopedic, Podiatry and Spine Clinic-Faribault
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972006807
- **Authorized official:** DOMINICA TALLARICO (COO)
- **Authorized official phone:** (612) 222-2222

## Contact information

- **Practice address:** 35 STATE AVE STE 1, FARIBAULT, MN 55021-6369
- **Practice address phone:** (507) 497-3528
- **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 |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | NULL | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 03/16/2018
- **Last updated:** 02/26/2025