Rustad, David G
Rustad, David G is an individual health care provider with primary practice located at 7710 Computer Ave #110, Edina MN 55435-5417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Rustad, David G can be contacted via phone (952) 835-9442.Contact Information
Primary practice address
7710 Computer Ave #110
Edina MN 55435-5417
Phone: (952) 835-9442
Fax: (952) 835-9443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 30222 | Minnesota |
Profile Details
| NPI number | 1013978568 |
|---|---|
| LBN Legal business name | Rustad, David G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Aug 8th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013978568 | NPPES |
| Minnesota | MEDICAID | 837782100 |
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