Advanced Dermatology Care Medical Cosmetic and Surgery PA
Advanced Dermatology Care Medical Cosmetic and Surgery PA is a Dermatology Physician in Stillwater, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.
- Licensed in
- MN
- In the registry since
- 2008
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
14130 60th St NStillwater, MN 55082-6354
Phone: (651) 484-2724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 1376 (MN) |
|---|
Record details
| NPI number | 1144486978 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Olaf Rustad — Dermatologist President · (651) 484-2724 |
| Other names | Advanced Dermatology Care |
| NPI enumerated | July 31, 2008 |
| Last updated in NPPES | March 11, 2024 |
| Certification date | March 11, 2024 |
| Mailing address | 4480 Centerville Rd, White Bearlake, MN 55127 |
Other providers in Stillwater
-
Christine Kay Markus, MD
1950 Curve Crest Blvd W Ste 100, Stillwater, MN 55082-6062 · (651) 275-0500
-
Stillwater Medical Group
1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 · (651) 439-1234