NPI 1427079516

Dermatology Clinic S.C.

Organisation Dermatology Physician Green Bay, WI

Practice location

Address: 715 Superior Rd STE 120, Green Bay, WI 54311-7595
Phone: (920) 406-9803
Fax: (920) 406-9934

Authorised official

Name: Chris L Zimmermann
Title: Assistant to the President
Phone: (920) 406-9803

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Wisconsin →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2187-023 (WI)

Other Physician Assistant providers in Wisconsin →

Registry record

NPI: 1427079516
Entity type: Organization
NPI issued: 22 Jul 2006
Record last updated: 19 Apr 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.