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 |