Individual
JARED K RUSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2024 S 6TH ST, BRAINERD, MN 56401-3054
(218) 828-7100
(218) 828-7107
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
49604
MN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
49604
MN
Other
Enumeration date
01/05/2007
Last updated
01/13/2016
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