OrganizationActive
Allina Health System
NPI 1457657256 · Obesity Medicine (Family Medicine) Physician · Coon Rapids, MN
Provider details
- NPI number
- 1457657256
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Dominico Tallarico, Coo
Practice location
11850 Blackfoot St Nw Ste 130
Coon Rapids, MN 55433-2583
Phone: (763) 236-2045
Fax: (763) 236-2044
Mailing address
Po Box 43
Minneapolis, MN 55440-0043
Registry dates
- Enumerated
- 2011-01-27
- Last updated
- 2024-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.