Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Eden Prairie Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
775 PRAIRIE CENTER DR STE 400, EDEN PRAIRIE, MN 55344-7322
(612) 262-1166
Mailing address
PO BOX 43, ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 261-1166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Enumeration date
09/09/2024
Last updated
02/28/2025
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