Olaf Jonathan Rustad in White Bear Lake - Dermatology
Olaf Jonathan Rustad - NPI 1174586440
Olaf Jonathan Rustad is a Dermatology in White Bear Lake, Minnesota. Olaf Jonathan Rustad practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Olaf Jonathan Rustad is 1174586440. The last update date is 2010-09-29.
Olaf Jonathan Rustad's current location address is 4480 Centerville Road, White Bear Lake, Minnesota. You can contact this provider via phone number 6514842724 and fax number 6514842723. The mailing address for Olaf Jonathan Rustad is 4480 Centerville Road, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Olaf Jonathan Rustad |
|---|---|
| Address | 4480 Centerville Road, White Bear Lake, Minnesota |
| Phone Number | 6514842724 |
| Fax Number | 6514842723 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174586440 |
|---|---|
| Provider Enumeration Date | 2006-04-08 |
| Last Updated Date | 2010-09-29 |
Provider Mailing Address Detail
| Address | 4480 Centerville Road |
|---|---|
| City | White Bear Lake |
| State | Minnesota (MN) |
| Post Code | 551273674 |
| Phone Number | 6514842724 |
| Fax Number | 6514842723 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 1938363 |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70003227 | RR MEDICARE PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Olaf Jonathan Rustad by the Centers for Medicare & Medicaid Services?
The Olaf Jonathan Rustad has been assigned the NPI (National Provider Identifier) 1174586440. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Olaf Jonathan Rustad's facilities are situated?
The facilities of Olaf Jonathan Rustad are physically located at the following address: 4480 Centerville Road, White Bear Lake, MN, 551273674.
What is Olaf Jonathan Rustad's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Olaf Jonathan Rustad is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date was the 1174586440 assigned to Olaf Jonathan Rustad?
The Olaf Jonathan Rustad was issued its 1174586440 on 2006-04-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Olaf Jonathan Rustad, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Olaf Jonathan Rustad, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-09-29.
NPI Number: 1639172745
Address: 3244 Bailey St Nw, Massillon, OH
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA