Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Fridley Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
500 OSBORNE RD NE STE 150, FRIDLEY, MN 55432-2770
(763) 786-6011
(763) 236-2505
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/02/2011
Last updated
02/26/2025
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