| NPI | 1871340760 | 
|---|---|
| Doing Business As | THE WALDORF CENTER FOR PLASTIC SURGERY, A FOREFRONT PRACTICE | 
| Entity Type | Organization | 
| Authorized Contact | BETSY WERNLI President 920-482-0671  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208200000X Plastic Surgery | 
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery | 
| Enumeration Date | 2024-04-30 | 
| Last Update Date | 2024-04-30 |