Allina Health Uptown Clinic | |
1221 W Lake St Suite 201 Minneapolis MN 55408 | |
(612) 824-1772 | |
(612) 821-4799 |
Full Name | Allina Health Uptown Clinic |
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Speciality | Family Medicine |
Location | 1221 W Lake St, Minneapolis, Minnesota |
Authorized Official Name and Position | Dominica Tallarico (COO) |
Authorized Official Contact | 6122222222 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allina Health Uptown Clinic Po Box 43 Mail Route 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Allina Health Uptown Clinic 1221 W Lake St Suite 201 Minneapolis MN 55408 Ph: (612) 824-1772 |
NPI Number | 1508162249 |
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Provider Enumeration Date | 01/27/2011 |
Last Update Date | 03/22/2024 |
Medicare PECOS PAC ID | 4587573613 |
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Medicare Enrollment ID | O20120229000735 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508162249 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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