Individual
MUNIR H IDRISS
Active
Sole proprietor
Yes
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
207N00000X
Dermatology Physician
66462
MN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
82274
WI
Other
Enumeration date
04/02/2018
Last updated
12/05/2025
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