Organization
ALLINA HEALTH SYSTEM
Active
Other names
United Plastic Surgery Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
310 SMITH AVE N STE 330, SAINT PAUL, MN 55102-2283
(651) 241-6800
(651) 241-6850
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
02/24/2025
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