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