Organization
ALLINA HEALTH SYSTEM
Active
Other names
Neurosurgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
913 E 26TH ST STE 305, MINNEAPOLIS, MN 55404-4515
(612) 871-7278
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/15/2016
Last updated
02/25/2025
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