Olaf Jonathan Rustad, MD
Olaf Jonathan Rustad, MD is a Dermatology in White Bear Lake, Minnesota. Qualified in 1989, 37 years ago. Practices with Advanced Dermatology Care Medical Cosmetic and Surgery PA, a 7-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 37
- Licensed in
- MN
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
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 · Licence 1938363 (MN) |
|---|
Record details
| NPI number | 1174586440 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 8, 2006 |
| Last updated in NPPES | September 29, 2010 |
| Mailing address | 4480 Centerville Road, White Bear Lake, MN 55127-3674 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1989 (37 years in practice) |
| Group practice | Advanced Dermatology Care Medical Cosmetic And Surgery Pa — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in White Bear Lake
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Advanced Dermatology Care Medical Cosmetic and Surgery PA
4480 Centerville Rd, White Bear Lake, MN 55127-3674 · (651) 484-2724