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Advanced Dermatology Care Medical Cosmetic and Surgery PA

Dermatology Physician in Stillwater, MN · enumerated 2008 · authorized official Olaf Rustad, Dermatologist President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1144486978

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Registry record

Entity type Organization (Type 2)
Legal business name Advanced Dermatology Care Medical Cosmetic and Surgery PA
Other name <Unavail>
Practice address 14130 60th St N, Stillwater, MN, 55082
Enumeration date Jul 31, 2008
Last updated in NPPES Mar 11, 2024

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 1376 (MN) Primary

Authorized official

Name Olaf Rustad
Title Dermatologist President

Other identifiers

Identifier Type State Issuer
C01783 Other MN GROUP LEGACY
070000195 Other MN PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Advanced Dermatology Care Medical Cosmetic and Surgery PA?
The NPI for Advanced Dermatology Care Medical Cosmetic and Surgery PA is 1144486978, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Advanced Dermatology Care Medical Cosmetic and Surgery PA?
NPPES lists Olaf Rustad (Dermatologist President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-11.