OrganizationActive
Allina Health System
NPI 1790286193 · Behavioral Neurology & Neuropsychiatry Physician · Coon Rapids, MN
Provider details
- NPI number
- 1790286193
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Dominica Tallarico, Coo
Practice location
4050 Coon Rapids Blvd Nw
Coon Rapids, MN 55433-2522
Phone: (612) 262-1166
Mailing address
Po Box 43
Minneapolis, MN 55440-0043
Registry dates
- Enumerated
- 2018-02-22
- Last updated
- 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.