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NPI 1063279677 · live from the CMS NPI Registry

Allina Health System

Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Plymouth, MN. National Provider Identifier 1063279677, active.

NPI record

NPI1063279677 Type 2 · organization
StatusActive
Primary specialtyOrthopaedic Surgery, Orthopaedic Surgery of the Spine 207XS0117X
Practice location2855 Campus Dr Ste 300, Plymouth, MN 55441
Practice phone800-827-8313
Mailing addressPo Box 43, Mail Route 10585, Minneapolis, MN 55440
EnumeratedFebruary 29, 2024
Last updatedJanuary 14, 2025
Authorized officialDominica Tallarico, Coo
Other namesAllina Health Medical Spine

Taxonomies and licenses

TaxonomyCodeLicense
Orthopaedic Surgery, Orthopaedic Surgery of the Spine primary207XS0117X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.