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NPI Verification

National Provider Identifier: 1457657256

Allina Health System

Organization

Primary Specialty

Family Medicine, Bariatric Medicine

Code: 207QB0002X

All Specialties (4)

Dietitian, Registered

Code: 133V00000X

Family Medicine, Bariatric Medicine

Code: 207QB0002X

Primary

Preventive Medicine, Obesity Medicine

Code: 2083B0002X

Clinic/Center

Code: 261Q00000X

Practice Address

11850 BLACKFOOT ST NW STE 130

COON RAPIDS, MN 554332583

Phone: 763-236-2045

NPI Enumeration Date

January 27, 2011

NPI Number

1457657256

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Allina Health System - NPI 1457657256 | Provider Verification | HormoneMap