NPI 1376033563

Wael S Ibrahim, MD

Practitioner Dermatopathology (Pathology) Physician Roseville, MN

Practice location

Address: 2720 Fairview Ave N STE 200, Roseville, MN 55113-1306
Phone: (651) 633-6883
Fax: (651) 331-3459

Registered specialties (2)

Dermatopathology (Pathology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZD0900X Licence 79808 (MN)

Other Pathology providers in Minnesota →

Dermatopathology (Pathology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZD0900X Licence 85806-20 (WI)

Registry record

NPI: 1376033563
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2018
Record last updated: 4 Dec 2025

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.