NPI | 1023831625 |
---|---|
Doing Business As | ALLINA HEALTH EDEN PRAIRIE CLINIC |
Entity Type | Organization |
Authorized Contact | DOMINICA TALLARICO COO 612-222-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
207X00000X Orthopaedic Surgery | |
Enumeration Date | 2024-11-04 |
Last Update Date | 2024-11-04 |