Allina Health Faribault Medical Center Professional Services | |
200 State Ave Faribault MN 55021-6339 | |
(507) 334-6451 | |
Not Available |
Full Name | Allina Health Faribault Medical Center Professional Services |
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Speciality | Emergency Medicine |
Location | 200 State Ave, Faribault, 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 |
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Allina Health Faribault Medical Center Professional Services Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Faribault Medical Center Professional Services 200 State Ave Faribault MN 55021-6339 Ph: (507) 334-6451 |
NPI Number | 1063832475 |
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Provider Enumeration Date | 04/24/2014 |
Last Update Date | 03/14/2024 |
Certification Date | 03/14/2024 |
Identifier | Type | State | Issuer |
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1063832475 | NPI | - | NPPES |
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