NPI | 1750198503 |
---|---|
Doing Business As | KNIGHT DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE |
Entity Type | Organization |
Authorized Contact | BETSY J WERNLI President 920-482-0671 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207NS0135X Dermatology, Procedural Dermatology | |
208200000X Plastic Surgery | |
Enumeration Date | 2024-12-16 |
Last Update Date | 2024-12-16 |