| NPI | 1487547576 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DENISE ANGER Delegated Official 920-663-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2026-06-03 |