NPI 1578097572

Forefront Dermatology, S.C.

Organisation Dermatology Physician Fort Wayne, IN

Practice location

Address: 4020 New Vision Drive, Fort Wayne, IN 46845
Phone: (260) 425-2567
Fax: (260) 420-2415
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

Other Dermatology providers in Indiana →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Registry record

NPI: 1578097572
Entity type: Organization
NPI issued: 17 Apr 2017
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.