Organization
SOUTHEASTERN MINNESOTA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A NUSTAD DDS, MS (VP, TREASURER)
(507) 451-0290
Entity
Organization
Contact information
Practice address
2519 COMMERCE DR NW STE 110, ROCHESTER, MN 55901-4433
(507) 281-5000
Mailing address
2519 COMMERCE DR NW STE 110, ROCHESTER, MN 55901-4433
(507) 281-5000
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
05/14/2026
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