Organization · Type 2 NPI

Allina Health System

Family Medicine Physician · Forest Lake, MN

NPI number 1447556261 Active

Practice location

1540 Lake St S
Forest Lake, MN 55025-2628

Call (651) 464-7100 Map

Fax (651) 241-1515

Mailing address

2925 Chicago Ave, Route 10202
Minneapolis, MN 55407-1321

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Clinic/Center	261Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

32 other providers at this address

NPI record

NPI: 1447556261
Entity type: Organization (Type 2)
Issued: Jan 27, 2011
Last updated: Mar 21, 2024
Status: Active

Other names

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Allina Health Forest Lake Clinic · doing business as
Allina Health Forest Lake Clinic · doing business as

Authorized official

Dominica Tallarico
COO
(612) 222-2222

Verify this record

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 1447556261

Allina Health System's National Provider Identifier is 1447556261, issued on Jan 27, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Forest Lake, MN. The record was last updated on Mar 21, 2024.