| NPI | 1285930065 |
|---|---|
| Doing Business As | ALLINA HEALTH EAST LAKE STREET CLINIC |
| Entity Type | Organization |
| Authorized Contact | DOMINICA TALLARICO COO 612-222-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2024-03-21 |