Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Brain and Spine Institute - Coon Rapids, Allina Health Neurosurgery
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
11850 BLACKFOOT ST NW STE 490, COON RAPIDS, MN 55433-2773
(612) 871-7278
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
01/14/2026
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