Advanced Dermatology Care Medical Cosmetic and Surgery PA
Advanced Dermatology Care Medical Cosmetic and Surgery PA provides Dermatology Physician services 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