Advanced Dermatology Care Medical Cosmetic and Surgery PA
Advanced Dermatology Care Medical Cosmetic and Surgery PA is a Dermatology Physician in White Bear Lake, Minnesota. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4480 Centerville RdWhite Bear Lake, MN 55127-3674
Phone: (651) 484-2724
Fax: (651) 484-2723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1073614558 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Advanced Dermatology Care Medical and Surgical Dermatology PA |
| Authorized official | Olaf Rustad — Owner · (651) 484-2724 |
| Other names | Advanced Dermatology Care; Advanced Dermatology Care |
| NPI enumerated | September 26, 2006 |
| Last updated in NPPES | November 16, 2018 |
| Mailing address | 4480 Centerville Rd, White Bear Lake, MN 55127-3674 |
Other providers in White Bear Lake
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Olaf Jonathan Rustad, MD
4480 Centerville Rd, White Bear Lake, MN 55127-3674 · (651) 484-2724