| NPI | 1699014167 |
|---|---|
| Doing Business As | ALLINA HEALTH CENTENNIAL LAKES 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 |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2024-03-22 |