| Doctor Name: | DAVID G RUSTAD |
| NPI Number: | 1013978568 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 30222 |
| Business Practice Address: | 7710 Computer Ave #110 Edina, MN - 554355417 |
| Business Phone Number: | 9528359442 |
| Business Fax Number: | 9528359443 |
| Mailing Address: | 2530 Chicago Ave, #550 MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554044289 |
| Phone Number: | 6128138000 |
| Fax Number: | 6128138005 |
| NPI Enumeration Date: | 03/31/2006 |
| NPI Last Update Date: | 08/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0120X |
| License Number: | 30222 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Pediatric Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |