Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Isanti Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
300 5TH AVE NE, ISANTI, MN 55040-2205
(763) 000-0000
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
01/16/2025
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