NPI | 1245777994 |
---|---|
Entity Type | Organization |
Authorized Contact | BETSY J WERNLI President 920-482-0671 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology |
Enumeration Date | 2017-01-19 |
Last Update Date | 2018-05-17 |