Individual
MADEEHA DRISSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2720 FAIRVIEW AVE N STE 200, ROSEVILLE, MN 55113-1306
(651) 633-6883
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
207N00000X
Dermatology Physician
Primary
75745
MN
Other
Enumeration date
05/20/2019
Last updated
10/14/2024
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