GREAT LAKES DERMATOLOGY SC

MOUNT PLEASANT, WI
NPI1851467047
Doing Business AsASCEND DERMATOLOGY
Entity TypeOrganization
Authorized ContactKRISTY K OLSON
Manager Of Compliance
262-989-4400
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2006-11-28
Last Update Date2015-05-26
Business Address
GREAT LAKES DERMATOLOGY SC
6233 BANKERS RD SUITE 3
MOUNT PLEASANT, WI 53403-9700
Phone number: 262-898-4400
Mailing Address
GREAT LAKES DERMATOLOGY SC
6233 BANKERS RD STE 3
MOUNT PLEASANT, WI 53403-9700
Phone number: 262-898-4400