Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RUTH A RUSTAD, MD
ActiveRUTH A RUSTAD, MD is a Dermatology healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1689631038 is currently active in the NPPES registry. Verify at CMS.
Dermatology · WHITE BEAR LAKE, MN
Registration Details
- NPI Number
- 1689631038
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 28, 2006 (20.336584049765 yrs)
- Last Updated
- Aug 1, 2012
- Licenses
-
38316 (MN)38316 (MN)
Practice Information
- Address
-
4480 CENTERVILLE RDWHITE BEAR LAKE, MN, 551273674Browse MN providers · Browse ZIP 55127
- Phone
- 6514842724
- Fax
- 6514842723
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in WHITE BEAR LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| OLAF JONATHAN RUSTAD | MD | 1174586440 |
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.