| NPI | 1679704530 |
|---|---|
| Former Legal Business Name | PAULGER & WISNIEWSKI DERMATOLOGY, LLP |
| Entity Type | Organization |
| Authorized Contact | BRENT R. PAULGER Partner 806-797-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX J6653 M5588) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX J6653 M5588) |
| 207ND0900X Dermatology, Dermatopathology (Licence: TX J6653 M5588) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2023-05-15 |