Whalio Doctors

NPI 1235534629

Forefront Dermatology, S.C.

Organisation Dermatology Physician Indianapolis, IN

Practice location

Address
8325 S Emerson Ave STE C1, Indianapolis, IN 46237
Phone
(317) 780-7400
Fax
(317) 859-8181
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
Allopathic & Osteopathic Physicians Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X
Procedural Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Registry record

NPI
1235534629
Entity type
Organization
NPI issued
28 Oct 2014
Record last updated
17 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.