Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Orthopedic, Podiatry and Spine Clinic-Faribault
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
35 STATE AVE STE 1, FARIBAULT, MN 55021-6369
(507) 497-3528
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
03/16/2018
Last updated
02/26/2025
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