NPI 1053824045
Moulay Younes Elidrissi
Practice location
- Address
- 720 W Lake St # 107, Minneapolis, MN 55408-2963
- Phone
- (612) 216-4705
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1053824045
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Nov 2017
- Record last updated
- 13 Nov 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.