MINNESOTA PERSONALIZED MEDICINE LLC
NPI 1760144679
Clinic/Center - Medical Specialty in Minneapolis, MN

Q: What is Minnesota Personalized Medicine LLC's NPI number?

The NPI number for Minnesota Personalized Medicine LLC is 1760144679. It was assigned to this organization in the NPPES registry on October 7, 2021.

Q: What is Minnesota Personalized Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since October 07, 2021

1409 WILLOW ST STE 501, MINNEAPOLIS, MN 55403(612) 345-5029(612) 392-3957 Get Directions Write a Review

NPPES record last updated: October 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Minnesota Personalized Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINNESOTA PERSONALIZED MEDICINE LLC (NPI 1760144679) is a healthcare organization registered as a medical specialty in Minneapolis, Minnesota and active in the NPI registry since October 2021. The organization lists Gregory A Plotnikoff, Owner/founder, as its authorized official.

NPPES Registry Identity

NPI1760144679

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameMINNESOTA PERSONALIZED MEDICINE LLC

Location Address1409 WILLOW ST STE 501Minneapolis, MN 55403-3288

Mailing Address1409 Willow St Ste 501Minneapolis, MN 55403-3288 · (612) 345-5029 · Fax (612) 392-3957

Phone(612) 345-5029

Fax(612) 392-3957

Organization SubpartNo

Authorized OfficialGregory A PlotnikoffOwner/founder · (612) 345-5029

Enumeration DateOctober 7, 2021

NPPES CertifiedOctober 7, 2021

✔ NPI 1760144679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

1409 WILLOW ST STE 501, Minneapolis, MN 55403

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Other Identifiers 3

Other34265MN · Medical License

Other43318MN · Medical License

Other47498MN · Medical License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA KATHERINE DOYLE BIZILY MD

Family Medicine

1409 WILLOW ST STE 501
MINNEAPOLIS, MN 55403

Hennepin County (612) 345-5029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Minnesota Personalized Medicine LLC's NPI number?

The NPI number for Minnesota Personalized Medicine LLC is 1760144679. It was assigned to this organization in the NPPES registry on October 7, 2021.

Where is Minnesota Personalized Medicine LLC located?

Minnesota Personalized Medicine LLC is located at 1409 Willow St Ste 501, Minneapolis, MN 55403. The listed phone number is (612) 345-5029.

What is Minnesota Personalized Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Minnesota Personalized Medicine LLC was last updated on October 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.