NPI | 1457657249 |
---|---|
Doing Business As | ALLINA HEALTH ANNANDALE CLINIC |
Entity Type | Organization |
Authorized Contact | DOMINICO TALLARICO COO 612-222-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2011-01-27 |
Last Update Date | 2024-03-21 |