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Organization

ALLINA HEALTH SYSTEM

Active
Parent organization
ALLINA HEALTH SYSTEM
Other names
Buffalo Hospital CRNA
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALLINA HEALTH SYSTEM
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization

Contact information

Practice address
303 CATLIN ST, BUFFALO, MN 55313-1947
(763) 682-1212
Mailing address
14700 28TH AVE N, SUITE 20, PLYMOUTH, MN 55447-4835
(763) 559-3779
(763) 450-3986

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
06/09/2006
Last updated
03/22/2024
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