| NPI | 1053944652 | 
|---|---|
| Doing Business As | RIDGEVIEW DERMATOLOGY | 
| Entity Type | Organization | 
| Authorized Contact | BETSY WERNLI Owner / President 920-482-0671 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207N00000X Dermatology | 
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology | 
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| Enumeration Date | 2020-02-21 | 
| Last Update Date | 2025-10-10 |