OrganizationActive
Allina Health System
NPI 1114700317 · Otolaryngology Physician · Plymouth, MN
Provider details
- NPI number
- 1114700317
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dominica Tallarico, Coo(612) 222-2222
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2805 Campus Dr Ste 205
Plymouth, MN 55441-2678
Phone: (763) 577-7200
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 43
Minneapolis, MN 55440-0043
Other names (DBA / former)
- Doing business as
- Allina Health Ent and Audiology Plymouth
Registry dates
- Enumerated
- 2023-08-14
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.