NPI 1356784334

New Dermatology Group LTD

Organisation Dermatology Physician Green Bay, WI

Practice location

Address: 1747 Shawano Ave, Green Bay, WI 54303-3243
Phone: (920) 965-0345
Mailing address: 2221 S Webster Ave STE 241, Green Bay, WI 54301-2158

Authorised official

Name: Kevan Lewis
Title: Owner
Phone: (920) 965-0345

Registered specialties (5)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 53110-20 (WI)

Other Dermatology providers in Wisconsin →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 53110-20 (WI)

Dermatopathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence 53110-20 (WI)

Clinical & Laboratory Dermatological Immunology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NI0002X Licence 53110-20 (WI)

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 53110-20 (WI)

Registry record

NPI: 1356784334
Entity type: Organization
NPI issued: 9 Apr 2013
Record last updated: 9 Apr 2013

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.