| NPI | 1366335457 | 
|---|---|
| Doing Business As | ADVANCED 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 | 207NS0135X Dermatology, Procedural Dermatology | 
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| Enumeration Date | 2025-05-29 | 
| Last Update Date | 2025-10-03 |