Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLAF JONATHAN RUSTAD, MD
ActiveOLAF JONATHAN RUSTAD, MD is a Dermatology healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1174586440 is currently active in the NPPES registry. Verify at CMS.
Dermatology · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1174586440
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 8, 2006 (20.390962479591 yrs)
- Last Updated
- Sep 29, 2010
- License
-
1938363 (MN)
Practice Information
- Address
-
4480 CENTERVILLE ROADWHITE BEAR LAKE, MN, 551273674Browse MN providers · Browse ZIP 55127
- Phone
- 6514842724
- Fax
- 6514842723
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in WHITE BEAR LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| RUTH A RUSTAD | MD | 1689631038 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.