| Allina Health Fridley Clinic | |
|
500 Osborne Rd Ne Ste 150 Fridley MN 55432-2770 | |
| (763) 786-6011 | |
| (763) 236-2505 |
| Full Name | Allina Health Fridley Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 500 Osborne Rd Ne Ste 150, Fridley, Minnesota |
| Authorized Official Name and Position | Dominica Tallarico (COO) |
| Authorized Official Contact | 6122222222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allina Health Fridley Clinic Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Fridley Clinic 500 Osborne Rd Ne Ste 150 Fridley MN 55432-2770 Ph: (763) 786-6011 |
| NPI Number | 1912203365 |
|---|---|
| Provider Enumeration Date | 02/02/2011 |
| Last Update Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912203365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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