Olaf Jonathan Rustad, MD

NPI #1174586440 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1174586440
Entity Type: Individual
Name: Olaf Jonathan Rustad, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Apr 8, 2006
Last Updated: Sep 29, 2010

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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