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Allina Health System — NPI 1649576091, Coon Rapids, MN | NPI Central

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NPI 1649576091

OrganizationActive

Allina Health System

NPI 1649576091 · Surgery Physician · Coon Rapids, MN

Provider details

NPI number: 1649576091
Entity type: Organization
Primary specialty: Surgery PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Dominica Tallarico, Coo(612) 222-2222

Specialties & taxonomies

Surgery PhysicianPrimary208600000X
Allopathic & Osteopathic Physicians
Clinic/Center261Q00000X
Ambulatory Health Care Facilities

Practice location

11850 Blackfoot St Nw Ste 130

Coon Rapids, MN 55433-2583

Phone: (763) 236-9000

Fax: (763) 236-9010

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

Po Box 43

Minneapolis, MN 55440-0043

Other names (DBA / former)

Doing business as: Allina Health Mercy General Surgery Clinic
Doing business as: Allina Health Mercy General Surgery Clinic

Registry dates

Enumerated: 2011-02-02
Last updated: 2025-02-25
Certified: 2025-02-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.