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Organization

ALLINA HEALTH SYSTEM

Active
Other names
Phillips Eye Institute Professional Services
Organization subpart
No

Provider details

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

Contact information

Practice address
2925 CHICAGO AVE, ROUTE 10957, MINNEAPOLIS, MN 55407-1321
(612) 262-8640
Mailing address
PO BOX 43, ROUTE 10860, MINNEAPOLIS, MN 55440-0043
(612) 262-1166

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
06/16/2006
Last updated
03/21/2024
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