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

Dermavation, SC

Organization Dermatology Physician · NPI 1013197862

Dermavation, SC is a Dermatology Physician in Wauwatosa, Wisconsin. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

201 N Mayfair Rd Ste 550
Wauwatosa, WI 53226-4216
Phone: (414) 258-3376
Fax: (414) 475-6647
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1013197862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manish Gharia — Owner/President · (414) 258-3376
NPI enumeratedNovember 9, 2007
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address4555 W Schroeder Dr Ste 170, Milwaukee, WI 53223-6456

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