Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dermatology Clinic SC

Organization Dermatology Physician · NPI 1427079516

Dermatology Clinic SC is a Dermatology Physician in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2

Practice location Address checks out

715 Superior Rd Ste 120
Green Bay, WI 54311-7595
Phone: (920) 406-9803
Fax: (920) 406-9934
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Physician Assistant Taxonomy 363A00000X · Licence 2187-023 (WI)

Record details

NPI number1427079516
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chris Zimmermann — Assistant To The President · (920) 406-9803
NPI enumeratedJuly 22, 2006
Last updated in NPPESApril 19, 2012
Mailing address715 Superior Rd Ste 120, Green Bay, WI 54311-7595

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