| NPI | 1073614558 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY CARE |
| Entity Type | Organization |
| Authorized Contact | OLAF J RUSTAD Owner 651-484-2724 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2018-11-16 |