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1013978568
DAVID G RUSTAD
EDINA, MN
NPI
1013978568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0120X Surgery Pediatric Surgery
(Licence: MN 30222)
Enumeration Date
2006-03-31
Last Update Date
2012-08-08
Business Address
DAVID G RUSTAD MD
7710 COMPUTER AVE #110
EDINA, MN 55435-5417
Phone number: 952-835-9442
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Mailing Address
DAVID G RUSTAD MD
2530 CHICAGO AVE #550
MINNEAPOLIS, MN 55404-4289
Phone number: 612-813-8000
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