Whalio Doctors

NPI 1053824045

Moulay Younes Elidrissi

Practitioner Optometrist Minneapolis, MN

Practice location

Address
720 W Lake St # 107, Minneapolis, MN 55408-2963
Phone
(612) 216-4705

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 0000 (MN)

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.