Forefront Dermatology, SC
Forefront Dermatology, SC is a Dermatology Physician in Shawano, Wisconsin. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
N4531 State Highway 22 Ste 5Shawano, WI 54166-6173
Phone: (715) 524-5995
Fax: (715) 953-4257
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Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| Procedural Dermatology Physician | Taxonomy 207NS0135X |
Record details
| NPI number | 1407689532 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Denise Anger — Sr. Director, Provider Enrollment · (920) 663-9008 |
| NPI enumerated | August 23, 2024 |
| Last updated in NPPES | August 23, 2024 |
| Certification date | August 23, 2024 |
| Mailing address | 801 York St, Manitowoc, WI 54220-4630 |
Other providers in Shawano
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Forefront Dermatology, SC
100 County Road B, Shawano, WI 54166 · (715) 524-5995
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Forefront Dermatology, SC
309 N Bartlett St, Shawano, WI 54166 · (920) 683-5278