GREAT LAKES DERMATOLOGY

PLEASANT PRAIRIE, WI
NPI1205041688
Entity TypeOrganization
Authorized ContactCATHY DEAN
Administrator
800-485-8640
Organization Subpart ?No
Primary Taxonomy207NS0135X Dermatology, Procedural Dermatology
Enumeration Date2007-05-11
Last Update Date2020-08-22
Business Address
GREAT LAKES DERMATOLOGY
9555 76TH ST SUITE 2600
PLEASANT PRAIRIE, WI 53158-1984
Phone number: 800-485-8640
Mailing Address
GREAT LAKES DERMATOLOGY
9555 76TH ST SUITE 2600
PLEASANT PRAIRIE, WI 53158-1984
Phone number:
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