Rustad, Ruth A

Rustad, Ruth A is an individual health care provider with primary practice located at 4480 Centerville Rd , White Bear Lake MN 55127-3674. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Rustad, Ruth A can be contacted via phone (651) 484-2724.

Contact Information

Primary practice address
4480 Centerville Rd White Bear Lake MN 55127-3674
Phone: (651) 484-2724
Fax: (651) 484-2723
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38316 Minnesota
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 38316 Minnesota

Profile Details

NPI number 1689631038
LBN Legal business name Rustad, Ruth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Aug 1st, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689631038 NPPES
Minnesota Other 110202652 RR MEDICARE

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