Organization
ALLINA HEALTH SYSTEM
Active
Other names
River Falls Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
1629 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 307-6000
Mailing address
PO BOX 43, MR 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/16/2006
Last updated
02/24/2025
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