Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Minor Medical Squad PLLC

Organization Community Health Clinic/Center · NPI 1821646985

Minor Medical Squad PLLC is a Community Health Clinic/Center in St Louis Park, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5775 Wayzata Blvd Ste 700
St Louis Park, MN 55416-1233
Phone: (612) 504-6160
Fax: (855) 818-2050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X

Record details

NPI number1821646985
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Dimucci — Owner, Family Nurse Practitioner · (612) 805-8676
NPI enumeratedAugust 30, 2019
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 30, 2022
Mailing address826 Trenton Ln N, Plymouth, MN 55441-4496