Organization
ALLINA HEALTH SYSTEM
Active
Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Medical Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
2855 CAMPUS DR STE 300, PLYMOUTH, MN 55441-2682
(800) 827-8313
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
01/14/2025
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