Advanced Dermatology Care Medical Cosmetic and Surgery PA
Advanced Dermatology Care Medical Cosmetic and Surgery PA is a Dermatology Physician in Forest Lake, 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
25 Lake St N Ste 200Forest Lake, MN 55025-2535
Phone: (651) 484-2724
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 | 1912158031 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Olaf Rustad — Dermatologist · (651) 484-2724 |
| Other names | Advanced Dermatology Care |
| NPI enumerated | October 7, 2008 |
| Last updated in NPPES | January 11, 2010 |
| Mailing address | 4480 Centerville Rd, Saint Paul, MN 55127-3674 |