1. Home
  2. Directory
  3. Minnesota
  4. St Louis Park
  5. Clinic Center
  6. NPI Profile

MINOR MEDICAL SQUAD PLLC
NPI 1821646985
Clinic/Center - Community Health in St Louis Park, MN

Active since August 30, 2019
5775 WAYZATA BLVD STE 700, ST LOUIS PARK, MN 55416(612) 504-6160(855) 818-2050 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Sep 30, 2022, Apr 20, 2021 and 2 more (5 updates tracked since 2019).

About Minor Medical Squad Pllc NPPES

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

MINOR MEDICAL SQUAD PLLC (NPI 1821646985) is a healthcare organization registered as a community health in St Louis Park, Minnesota and active in the NPI registry since August 2019. The organization lists Michael Vito Dimucci, Owner, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1821646985
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameMINOR MEDICAL SQUAD PLLC
Location Address5775 WAYZATA BLVD STE 700St Louis Park, MN 55416-1233
Mailing Address826 Trenton Ln NPlymouth, MN 55441-4496 · (612) 805-8676
Phone(612) 504-6160
Fax(855) 818-2050
Organization SubpartNo
Authorized OfficialMichael Vito DimucciOwner, Family Nurse Practitioner · (612) 805-8676
Enumeration DateAugust 30, 2019
Last NPPES UpdateSeptember 11, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2022
✔ NPI 1821646985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X

Other Providers at the Same Location NPPES 20

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

ALVIN JOHNSON
Counselor (Mental Health)
5775 WAYZATA BLVD STE 700
ST LOUIS PARK, MN 55416
Hennepin County (763) 312-1878
UTTERCARE HEALTH SERVICES LLC
Home Health
5775 WAYZATA BLVD STE 700
SAINT LOUIS PARK, MN 55416
Hennepin County (612) 618-9332
KAFIYA MUKTAR MOHAMED
Counselor (Mental Health)
5775 WAYZATA BLVD STE 700
ST LOUIS PARK, MN 55416
Hennepin County (763) 312-1878
BEK TRANSPORTATION SERVICES LLC
Non-emergency Medical Transport (VAN)
5775 WAYZATA BLVD STE 700
ST LOUIS PARK, MN 55416
Hennepin County (763) 898-8303
MUSTAFA S MOHAMED
Psychologist (Clinical Child & Adolescent)
5775 WAYZATA BLVD STE 700
ST LOUIS PARK, MN 55416
Hennepin County (651) 307-3934
SOFIA LEE
Behavior Analyst
5775 WAYZATA BLVD STE 700
ST LOUIS PARK, MN 55416
Hennepin County (763) 312-1878
ILHAN MUHUMED
Counselor (Mental Health)
5775 WAYZATA BLVD STE 700
ST LOUIS PARK, MN 55416
Hennepin County (176) 331-2187
ADRIANA MERCEDES SUAREZ
Behavior Analyst
5775 WAYZATA BLVD STE 700
MINNEAPOLIS, MN 55416
Hennepin County (763) 312-1878

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 Minor Medical Squad PLLC's NPI number?

The NPI number for Minor Medical Squad PLLC is 1821646985. It was assigned to this organization in the NPPES registry on August 30, 2019.

Where is Minor Medical Squad PLLC located?

Minor Medical Squad PLLC is located at 5775 Wayzata Blvd Ste 700, St Louis Park, MN 55416. The listed phone number is (612) 504-6160.

What is Minor Medical Squad PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Minor Medical Squad PLLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.