Organization
ALLINA HEALTH SYSTEM
Active
Other names
Chronic Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4495
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
06/14/2006
Last updated
01/22/2025
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