NPI | 1962854562 |
---|---|
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 | |
Enumeration Date | 2016-07-07 |
Last Update Date | 2018-05-16 |