Whalio Doctors

NPI 1043615164

Forefront Dermatology, S.C.

Organisation Dermatology Physician Green Bay, WI

Practice location

Address
715 Superior Rd Suite 120, Green Bay, WI 54311
Phone
(920) 406-9803
Fax
(920) 406-9934
Mailing address
801 York St, Manitowoc, WI 54220-4630

Authorised official

Name
Betsy J Wernli
Title
President
Phone
(920) 482-0671

Registered specialties (2)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X
Procedural Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Registry record

NPI
1043615164
Entity type
Organization
NPI issued
31 Oct 2014
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.