Organization
ALLINA HEALTH SYSTEM
Active
Other names
Midwest Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 262-2222
Entity
Organization
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6000
Mailing address
PO BOX 43, MR 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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