Organization · Type 2 NPI

Allina Health System

Obstetrics & Gynecology Physician · Eagan, MN

NPI number 1275839912 Active

Practice location

2805 Dodd Rd Ste 100
Eagan, MN 55121-2160

Call (651) 241-7733 Map

Fax (651) 241-0258

Mailing address

PO Box 43, Mail Route 10585
Minneapolis, MN 55440-0043

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6 other providers at this address

NPI record

NPI: 1275839912
Entity type: Organization (Type 2)
Issued: Jan 27, 2011
Last updated: Jan 16, 2025
Status: Active

Other names

<unavail>
Allina Health Eagan Women's Health Clinic · doing business as
Allina Health Eagan Women's Health Clinic · doing business as

Authorized official

Dominica Tallarico
COO
(612) 222-2222

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275839912

Allina Health System's National Provider Identifier is 1275839912, issued on Jan 27, 2011. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Eagan, MN. The record was last updated on Jan 16, 2025.