| NPI | 1023314804 |
|---|---|
| Doing Business As | ALLINA HEALTH BANDANA SQUARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DOMINICA TALLARICO COO 612-222-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine |
| 261QS1200X Clinic/Center, Sleep Disorder Diagnostic | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2024-03-18 |