NPI | 1568768919 |
---|---|
Doing Business As | ALLINA HEALTH COTTAGE GROVE CLINIC |
Entity Type | Organization |
Authorized Contact | DOMINICA TALLARICO COO 612-222-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2011-02-02 |
Last Update Date | 2024-03-22 |