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Organization

ALLINA HEALTH SYSTEM

Active
Other names
Abbott Northwestern Kidney Transplant Providers
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization

Contact information

Practice address
920 E 28TH ST STE 540, MINNEAPOLIS, MN 55407-1134
(612) 863-6969
(612) 863-6970
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-4258

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
10/18/2017
Last updated
02/25/2025
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