NPI | 1528832771 |
---|---|
Doing Business As | ADVANCED DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE |
Entity Type | Organization |
Authorized Contact | BETSY WERNLI President 920-482-0671 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 202K00000X |
207ND0101X Dermatology, MOHS-Micrographic Surgery | |
207R00000X Internal Medicine | |
Enumeration Date | 2023-11-08 |
Last Update Date | 2023-11-08 |