Organization
ALLINA HEALTH SYSTEM
Active
Other names
Minnesota Perinatal Physicians - Mercy
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
3960 COON RAPIDS BLVD NW STE 220, COON RAPIDS, MN 55433-2589
(763) 236-8438
Mailing address
2925 CHICAGO AVE, ROUTE 10585, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
12/01/2011
Last updated
02/24/2025
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