NPI 1043615164
Forefront Dermatology, S.C.
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
Procedural Dermatology Physician
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.