| NPI | 1356407613 |
|---|---|
| Doing Business As | TWIN CITIES DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | TROY RUSTAD President 612-227-8769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2012-09-04 |