Dermatology
ADVANCED DERMATOLOGY CARE MEDICAL COSMETIC AND SURGERY PA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1912158031 · enumerated 2008-10-07 · record updated 2010-01-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Dr. OLAF RUSTAD M.D., Dermatologist · (651) 484-2724
Other names: ADVANCED DERMATOLOGY CARE
Addresses and phones
- Practice location 25 LAKE ST N, SUITE 200, FOREST LAKE, MN, 55025-2535 (651) 484-2724 Google Maps Apple Maps OpenStreetMap
- Mailing address 4480 CENTERVILLE RD, SAINT PAUL, MN, 55127-3674 (641) 484-2724 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License 1376 MN
In this directory
Locations and evidence
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Practice location
FOREST LAKE, MN, 550252535
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.