Dermatopathology of Wisconsin SC
Dermatopathology of Wisconsin SC is a Clinical Medical Laboratory in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
12805 W Burleigh Rd Ste 200Brookfield, WI 53005-3111
Phone: (262) 797-6434
Fax: (262) 797-6429
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Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 52D0661946 (WI) |
|---|
Record details
| NPI number | 1164494142 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ameripath Inc |
| Authorized official | Darren Wheeler — Vice President · (702) 733-7866 |
| Other names | Dermpath Diagnostics Of Wi; Dermpath Diagnostics Of Wi |
| NPI enumerated | February 3, 2006 |
| Last updated in NPPES | September 20, 2024 |
| Certification date | September 20, 2024 |
| Mailing address | 14275 Midway Rd Ste 400, Addison, TX 75001-3661 |
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