NPI 1295783496

Dermatology Services, Sc

Organisation Dermatology Physician Wauwatosa, WI

Practice location

Address: 3077 N Mayfair Rd Suite 305, Wauwatosa, WI 53222-4305
Phone: (414) 258-3500
Fax: (414) 258-3501

Authorised official

Name: Sidney Herszenson
Title: Owner
Phone: (414) 258-3500

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Wisconsin →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 18537 (WI)

Registry record

NPI: 1295783496
Entity type: Organization
NPI issued: 4 May 2006
Record last updated: 4 Jun 2012

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.