Organization
ALLINA HEALTH SYSTEM
Active
Other names
Abbott Northwestern Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
2800 CHICAGO AVE STE 250, MINNEAPOLIS, MN 55407-1355
(612) 863-4096
(612) 775-9800
Mailing address
2925 CHICAGO AVE, ROUTE 10585, MINNEAPOLIS, MN 55407-1321
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
03/16/2011
Last updated
02/24/2025
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