Organization · Type 2 NPI

Allina Health System

Family Medicine Physician · Eden Prairie, MN

NPI number 1699501601 Active

Practice location

775 Prairie Center Dr Ste 400
Eden Prairie, MN 55344-7322

Call (612) 262-1166 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Obstetrics & Gynecology Physician	207V00000X	None listed
Orthopaedic Surgery Physician	207X00000X	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.

9 other providers at this address

Other family medicine physician providers in Eden Prairie

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NPI record

NPI: 1699501601
Entity type: Organization (Type 2)
Issued: Sep 9, 2024
Last updated: Feb 28, 2025
Status: Active

Other names

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Allina Health Eden Prairie Clinic · doing business as
Allina Health Eden Prairie Clinic · doing business as

Authorized official

Dominica Talarico
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 1699501601

Allina Health System's National Provider Identifier is 1699501601, issued on Sep 9, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Eden Prairie, MN. The record was last updated on Feb 28, 2025.