Minor Medical Squad Pllc

LBN: Minor Medical Squad Pllc
Minor Medical Squad Pllc is an health care organization with primary practice located at 5775 Wayzata Blvd Ste 700 , St Louis Park MN 55416-1233. The organization recently has only one registered license in Ambulatory Health Care Facilities / Community Health, which is considered as the primary health care specialty. Minor Medical Squad Pllc can be contacted via phone (612) 504-6160, or through Dimucci, Michael Vito via phone (612) 805-8676.

Contact Information

Primary practice address
5775 Wayzata Blvd Ste 700 St Louis Park MN 55416-1233
Phone: (612) 504-6160
Fax: (855) 818-2050
Website:
Map and Directions
Authorized official contact:
Name: Dimucci, Michael Vito FNP-C
Phone: (612) 805-8676

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X

Profile Details

NPI number 1821646985
LBN Legal business name Minor Medical Squad Pllc
DBA Doing business as
Authorized official Dimucci, Michael Vito FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2019
Last updated Sep 30th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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