NPI 1730560079

Forefront Dermatology, S.C.

Organisation Dermatology Physician Bloomington, IN

Practice location

Address: 415 S Landmark Ave, Bloomington, IN 47403-5003
Phone: (812) 333-7433
Fax: (812) 333-7435
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: 1730560079
Entity type: Organization
NPI issued: 12 Jun 2015
Record last updated: 16 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.