Forefront Dermatology SC
Forefront Dermatology SC is a Dermatology Physician in Wautoma, Wisconsin. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 4
Practice location Address checks out
W7713 Johnson CtWautoma, WI 54982-5274
Phone: (920) 895-1004
Fax: (920) 895-1005
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
| Dermatopathology Physician | Taxonomy 207ND0900X |
| Procedural Dermatology Physician | Taxonomy 207NS0135X |
Record details
| NPI number | 1922605880 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Betsy Wernli — President · (920) 482-0671 |
| NPI enumerated | October 5, 2020 |
| Last updated in NPPES | October 13, 2020 |
| Certification date | October 13, 2020 |
| Mailing address | 801 York St, Manitowoc, WI 54220-4630 |
Other providers in Wautoma
-
Forefront Dermatology, SC
900 E Division St, Wautoma, WI 54982 · (920) 787-0837