NPI 1023482569
Forefront Dermatology, S.C.
Practice location
- Address
- 1320 Pabst Farms Cir Suite 180, Oconomowoc, WI 53066
- Phone
- (262) 560-0322
- Fax
- (262) 560-0379
- Mailing address
- 801 York St, Manitowoc, WI 54220-4630
Authorised official
- Name
- Betsy J Wernli
- Title
- President
- Phone
- (920) 482-0671
Registered specialties (3)
Dermatology Physician
Primary
MOHS-Micrographic Surgery Physician
Procedural Dermatology Physician
Registry record
- NPI
- 1023482569
- Entity type
- Organization
- NPI issued
- 20 Nov 2015
- Record last updated
- 16 May 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.