NPI | 1194289181 |
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Doing Business As | HALEY DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE |
Entity Type | Organization |
Authorized Contact | BETSY J WERNLI President 920-482-0671 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207NS0135X Dermatology, Procedural Dermatology | |
Enumeration Date | 2019-01-24 |
Last Update Date | 2023-11-08 |