Abbott Northwestern Wound Clinic – Internal Medicine Physician, NPI 1407893936

Abbott Northwestern Wound Clinic is a healthcare provider. based in Minneapolis, Minnesota. specializing in Internal Medicine Physician. The NPI Number for Abbott Northwestern Wound Clinic is 1407893936

Main info

Organization
Name
Abbott Northwestern Wound Clinic
NPI
1407893936
Phone
(612) 262-1166
Address
PO BOX 43
Authorized Official
DOMINICA TALLARICO COO
Enumeration Date
1 June 2006
Last Update Date
22 January 2025

Contacts

Main Contact
https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness90
Years active:20State licenses:0Updated within 12 months

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Provider Addresses for Abbott Northwestern Wound Clinic

  • PO BOX 43

    MAIL ROUTE 10585

    MINNEAPOLIS, MN 554400043

    Phone: (612) 262-1166

    Type: Mailing

  • Abbott Northwestern Hospital, 800, East 28th Street, Midtown Phillips, Phillips, Minneapolis, Hennepin County, Minnesota, 55407, United States

    MINNEAPOLIS, MN 554073723

    Phone: (612) 863-3110

    Type: Location

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MR 10202

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-1166

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55440)

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Reviews

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Frequently asked questions

Is Abbott Northwestern Wound Clinic listed with a National Provider Identifier?
Yes — Abbott Northwestern Wound Clinic has NPI 1407893936 on file in the registry.
Active or inactive — what applies to Abbott Northwestern Wound Clinic?
You should see Abbott Northwestern Wound Clinic as active in CMS-hosted NPPES data.
How would a patient describe Abbott Northwestern Wound Clinic's focus?
For Abbott Northwestern Wound Clinic, the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Minnesota is Abbott Northwestern Wound Clinic registered?
Use Minneapolis, Minnesota as the headline location for Abbott Northwestern Wound Clinic here.
When was this NPI issued?
Enumeration for Abbott Northwestern Wound Clinic is noted as June 1, 2006 where the registry provides it.

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