Organization · Type 2 NPI

Allina Health System

Family Medicine Physician · Edina, MN

NPI number 1699014167 Active

Practice location

7373 France Ave S Ste 202
Edina, MN 55435-4551

Call (952) 835-1311 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Clinic/Center	261Q00000X	None listed
Urgent Care Clinic/Center	261QU0200X	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.

19 other providers at this address

Other family medicine physician providers in Edina

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NPI record

NPI: 1699014167
Entity type: Organization (Type 2)
Issued: Feb 4, 2013
Last updated: Feb 25, 2025
Status: Active

Other names

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Allina Health Centennial Lakes Clinic · doing business as
Allina Health Centennial Lakes 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 1699014167

Allina Health System's National Provider Identifier is 1699014167, issued on Feb 4, 2013. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Edina, MN. The record was last updated on Feb 25, 2025.