Individual
KRISTINE RUSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
710 LAWRENCE EXPY DEPT 290, SANTA CLARA, CA 95051-5173
(408) 851-2000
Mailing address
710 LAWRENCE EXPY DEPT 290, SANTA CLARA, CA 95051-5173
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A127857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
CA
Enumeration date
04/19/2012
Last updated
12/17/2021
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