Organization · Type 2 NPI

Allina Health System

Cardiovascular Disease Physician · Coon Rapids, MN

NPI number 1366639460 Active

Practice location

4040 Coon Rapids Blvd NW Ste 120
Coon Rapids, MN 55433-4568

Call (763) 427-9980 Map

Mailing address

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

Other practice locations

550 Osborne Rd NE, Fridley, MN 55432-2718 · (763) 427-9980
303 Catlin St, Buffalo, MN 55313-1947 · (763) 427-9980

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Clinic/Center	261Q00000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

46 other providers at this address

NPI record

NPI: 1366639460
Entity type: Organization (Type 2)
Issued: Oct 2, 2007
Last updated: Jan 22, 2025
Status: Active

Other names

<unavail>
Metropolitan Heart & Vascular Institute · doing business as
Metropolitan Heart & Vascular Institute · 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 1366639460

Allina Health System's National Provider Identifier is 1366639460, issued on Oct 2, 2007. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Coon Rapids, MN. The record was last updated on Jan 22, 2025.