Advanced Dermatology Care

LBN: Advanced Dermatology Care Medical Cosmetic And Surgery Pa
Advanced Dermatology Care is an health care organization with primary practice located at 14130 60Th St N , Stillwater MN 55082-6354. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Advanced Dermatology Care Medical Cosmetic And Surgery Pa can be contacted via phone (651) 484-2724, or through Rustad, Olaf Jonathan via phone (651) 484-2724.

Contact Information

Primary practice address
14130 60Th St N Stillwater MN 55082-6354
Phone: (651) 484-2724
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rustad, Olaf Jonathan Doctor of Medicine (MD)
Phone: (651) 484-2724

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 1376 Minnesota

Profile Details

NPI number 1144486978
LBN Legal business name Advanced Dermatology Care Medical Cosmetic And Surgery Pa
DBA Doing business as Advanced Dermatology Care
Authorized official Rustad, Olaf Jonathan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2008
Last updated Mar 11th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144486978 NPPES
Minnesota Other C01783 GROUP LEGACY
Minnesota Other 070000195 GROUP LEGACY

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