Organization
ALLINA HEALTH SYSTEM
Active
Organization
ALLINA HEALTH SYSTEM
Active
Other names
Abbott Northwestern General Medicine Associates - WestHealth, Abbott Northwestern General Medicine Associates - Edina West, ANW General Medicine Associates, Abbott Northwestern General Medicine Associates - Eden Prairie
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
775 PRAIRIE CENTER DR STE 300, EDEN PRAIRIE, MN 55344-7317
(952) 428-0300
Mailing address
2925 CHICAGO AVE, MR 10585, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
08/13/2008
Last updated
12/18/2025
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