| NPI | 1487969507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY J WERNLI President 920-482-0671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology |
| Additional Taxonomies | 207NI0002X Dermatology Clinical & Laboratory Dermatological Immunology |
| 207ZP0101X Pathology Anatomic Pathology | |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2024-02-15 |