Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health ENT and Audiology Plymouth
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
2805 CAMPUS DR STE 205, PLYMOUTH, MN 55441-2678
(763) 577-7200
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 986-5766
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
01/15/2025
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