| NPI | 1861121741 |
|---|---|
| Doing Business As | KALIA DERMATOLOGY & LASER CENTER, A FOREFRONT DERMATOLOGY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | BETSY JANE WERNLI President 920-482-0671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-11-21 |