Individual
WAEL S IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 FAIRVIEW AVE N STE 200, ROSEVILLE, MN 55113-1306
(651) 633-6883
(651) 331-3459
Mailing address
2720 FAIRVIEW AVE N STE 200, ROSEVILLE, MN 55113-1306
(651) 633-6883
(651) 331-3459
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
79808
MN
207ZD0900X
Dermatopathology (Pathology) Physician
85806-20
WI
Other
Enumeration date
05/14/2018
Last updated
12/04/2025
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