IndividualActive
Walid Maalouli, M.D.
NPI 1912079609 · Pediatric Adolescent Medicine Physician · Minneapolis, MN
Provider details
- NPI number
- 1912079609
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 43201 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2450 Riverside Ave # Ao-301
Minneapolis, MN 55454-1450
Phone: (612) 626-5451
Fax: (612) 626-1144
Approximate (ZIP-level) locationGet directions
Mailing address
3652 Robin Ln
Eagan, MN 55122-1156
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2023-04-12
- Certified
- 2023-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.