| NPI | 1972266799 |
|---|---|
| Doing Business As | SKIN CENTER, 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 |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| 207ZD0900X Pathology, Dermatopathology | |
| 2085R0001X Radiology, Radiation Oncology | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-10-19 |