| NPI | 1023678679 |
|---|---|
| Doing Business As | ALLINA HEALTH EVERYDAY CLINIC - MAPLE GROVE |
| Entity Type | Organization |
| Authorized Contact | DOMINICA TALLARICO COO 612-222-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2024-03-13 |