LOUIS J RUSIN


Address: 15111 Twelve Oaks Ctr Dr, Park Nicollet Clinic - Carlson, Minnetonka, MN 55305
Phone: 9529934570

LOUIS J RUSIN (NPI# 1881670651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881670651
Entity Type Individual
Full Name LOUIS J RUSIN
Practice Address 15111 Twelve Oaks Ctr Dr
Park Nicollet Clinic - Carlson
Minnetonka
MN 55305
Mailing Address 3800 Park Nicollet Blvd
Credentialing
St Louis Park
MN 55416-2527
Practice Telephone 9529934570
Practice Fax Number 9529934639
Enumeration Date 2005-12-22
Last Update Date 2012-03-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 24591 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 15111 TWELVE OAKS CTR DR
PARK NICOLLET CLINIC - CARLSON
City MINNETONKA
State MN
Zip Code 55305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700862463 Sarita T Reddy Family Medicine 15111 Twelve Oaks Ctr Dr, St Louis Park Carlson Urgent Care, Minnetonka, MN 55305 2005-12-15
1740266675 Daniel S Rubin Pediatrics 15111 Twelve Oaks Ctr Dr, Park Nicollet Clinic - Carlson, Minnetonka, MN 55305 2005-12-22

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NPI Name Taxonomy Address Enumeration
1255948584 Sober Living Connection Substance Abuse Rehabilitation Facility 11115 Minnetonka Blvd, Hopkins, MN 55305 2020-09-30
1649739103 Gabriel Douglas Orem Occupational Therapist 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 2019-03-14
1750863106 Andrea Haglin Counselor 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 2018-09-02
1770934499 Acme Transportation Private Vehicle 11356 Cedar Pointe Dr, Minnetonka, MN 55305 2016-06-23
1841641743 Laine Cecily Hartwell Epp Counselor 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 2016-06-22
1407217367 Larissa Vados Acupuncturist 11654 Wayzata Blvd, Minnetonka, MN 55305 2016-03-18
1548658982 Irene Grudsky Contractor 10550 Wayzata Blvd, Minnetonka, MN 55305 2015-01-08
1780093500 Lalaine Arbuthnot Ortlieb Counselor 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 2014-08-06
1235472275 Katherine Thistle Rivard Dietitian, Registered 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 2013-03-28
1558633784 Vickie Lynn Schaefer Social Worker 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 2012-02-03
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy 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 additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437215613 Nancy A Leitch Dermatology 14001 Ridgedale Dr Ste 300, Minnetonka, MN 55305-1783 2006-12-29
1417121088 Kathryn Amelia Gehrig Dermatology 14001 Ridgedale Dr Ste 300, Minnetonka, MN 55305-1783 2008-04-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962871608 Lakes Dermatology, Pa Dermatology 14305 Southcross Dr W, Suite 110, Burnsville, MN 55306-7009 2015-09-23
1194133157 Adam Schmitt Dermatology 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 2014-07-22
1578982773 Lori Ann Fiessinger Dermatology 420 Delaware Street Se, Mmc 98, Minneapolis, MN 55455 2014-04-15
1942629795 Shane O'neil Dermatology 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 2014-04-09
1033537782 Erin Sellinger Dermatology 2 Carlson Pkwy N, Ste 240, Plymouth, MN 55447-4485 2014-03-31
1033555230 Samuel Blake Ecker Dermatology 3655 Plymouth Blvd Ste 110, Minneapolis, MN 55446-3665 2013-05-14
1295078913 Jessica Jane Newman Dermatology 4-240, Phillips-wangensteen Bldg., 516 Delaware Street S.e., Mail Code 98, Minneapolis, MN 55455 2013-04-01
1437416088 Tiffany Lynn Shih Dermatology 401 Phalen Blvd # Ms 41102b, Saint Paul, MN 55130-5302 2012-04-20
1124317383 Sara Anne Hylwa Dermatology 730 South 8th Street, Department of Dermatology, Minneapolis, MN 55415 2011-03-28
1770885360 Thomas Joseph Kalb Dermatology 13420 106th St., Young America, MN 55397-5401 2010-12-02
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Competitor

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City MINNETONKA
Zip Code 55305

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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