Organization
ALLINA HEALTH SYSTEM
Active
Other names
Minnesota Perinatal Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
1625 RADIO DR STE 250, WOODBURY, MN 55125-9477
(651) 241-3700
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/12/2008
Last updated
01/14/2025
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