Advanced Dermatology Care Medical Cosmetic And Surgery Pa in White Bearlake - Dermatology
Advanced Dermatology Care Medical Cosmetic And Surgery Pa - NPI 1144486978
Advanced Dermatology Care Medical Cosmetic And Surgery Pa is a Dermatology in White Bearlake, Minnesota. Advanced Dermatology Care Medical Cosmetic And Surgery Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Advanced Dermatology Care Medical Cosmetic And Surgery Pa is 1144486978. The last update date is 2009-03-10.
Advanced Dermatology Care Medical Cosmetic And Surgery Pa's current location address is 4480 Centerville Rd, White Bearlake, Minnesota. You can contact this provider via phone number 6514842724 and fax number 6514842724. The mailing address for Advanced Dermatology Care Medical Cosmetic And Surgery Pa is 4480 Centerville Rd, White Bearlake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Dermatology Care Medical Cosmetic And Surgery Pa |
|---|---|
| Address | 4480 Centerville Rd, White Bearlake, Minnesota |
| Phone Number | 6514842724 |
| Fax Number | 6514842724 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DERMATOLOG |
|---|---|
| Authorized Official Name | Rustad Jonathan Olaf |
| Credentials | MD |
| Telephone Number | 6514842724 |
NPI Number Detail
| NPI Number | 1144486978 |
|---|---|
| Provider Enumeration Date | 2008-07-31 |
| Last Updated Date | 2009-03-10 |
Provider Mailing Address Detail
| Address | 4480 Centerville Rd |
|---|---|
| City | White Bearlake |
| State | Minnesota (MN) |
| Post Code | 55127 |
| Phone Number | 6514842724 |
| Fax Number | 6514842724 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 1376 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70000195 | MN | PTAN | |
| C01783 | MN | GROUP LEGACY |
Post Comment/ Review Below
What is the unique identification code assigned to Advanced Dermatology Care Medical Cosmetic And Surgery Pa by the Centers for Medicare & Medicaid Services?
The Advanced Dermatology Care Medical Cosmetic And Surgery Pa has been issued the NPI (National Provider Identifier) 1144486978. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Advanced Dermatology Care Medical Cosmetic And Surgery Pa is geographically located?
The Advanced Dermatology Care Medical Cosmetic And Surgery Pa is physically situated at the following location: 4480 Centerville Rd, White Bearlake, MN, 55127.
What is Advanced Dermatology Care Medical Cosmetic And Surgery Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Advanced Dermatology Care Medical Cosmetic And Surgery Pa is Dermatology, and the taxonomy code that classifies this field of practice is 207N00000X.
On what date did Advanced Dermatology Care Medical Cosmetic And Surgery Pa receive its 1144486978 assignment from the Centers for Medicare & Medicaid Services?
The Advanced Dermatology Care Medical Cosmetic And Surgery Pa was assigned its 1144486978 on 2008-07-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Advanced Dermatology Care Medical Cosmetic And Surgery Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Advanced Dermatology Care Medical Cosmetic And Surgery Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-03-10.