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 |