| NPI | 1144486978 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY CARE |
| Entity Type | Organization |
| Authorized Contact | OLAF JONATHAN RUSTAD Dermatologist President 651-484-2724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 1376) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2024-03-11 |