Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Maplewood Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
1850 BEAM AVE, MAPLEWOOD, MN 55109-1162
(651) 241-9500
(651) 770-8834
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/27/2011
Last updated
01/15/2025
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