Advanced Dermatology Care Medical Cosmetic and Surgery PA

NPI #1073614558 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1073614558
Entity Type: Organization
Organization Name: Advanced Dermatology Care Medical Cosmetic and Surgery PA
Subpart: Yes (part of a larger organization)
Parent Organization: ADVANCED DERMATOLOGY CARE MEDICAL AND SURGICAL DERMATOLOGY PA
Primary Specialty: Dermatology
Enumeration Date: Sep 26, 2006
Last Updated: Nov 16, 2018

Practice Location

Address: 4480 CENTERVILLE RD
City: White Bear Lake
State: Minnesota
ZIP Code: 55127-3674
Phone: (651) 484-2724

Authorized Official

Name: MR. OLAF J RUSTAD
Title: OWNER
Phone: (651) 484-2724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

Similar Providers

Provider Name	Specialty	City
Olaf Jonathan Rustad, MD	Dermatology	White Bear Lake	AI Deep Dive
Ruth A Rustad, MD	Dermatology	White Bear Lake	AI Deep Dive
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DR. Brian Gerard Zogg, MD	Dermatology	Albert Lea	AI Deep Dive
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