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Organization

ALLINA HEALTH SYSTEM

Active
Other names
Allina Health Weight Management - Abbott Northwestern
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization

Contact information

Practice address
920 E 28TH ST STE 460, MINNEAPOLIS, MN 55407-1286
(612) 863-7501
(612) 863-8900
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
261Q00000X
Clinic/Center

Other

Enumeration date
06/19/2012
Last updated
01/15/2025
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