Individual
AMR IDRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 E 28TH ST STE 300, MINNEAPOLIS, MN 55407-1195
(612) 863-1681
Mailing address
3698 BRODY LN, ASHLAND, KY 41102-7884
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
69518
MN
Other
Enumeration date
04/19/2016
Last updated
11/07/2025
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