Great Lakes Dermatology
Great Lakes Dermatology is a Procedural Dermatology Physician in Racine, Wisconsin. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
1515 S Greenbay RdRacine, WI 53406-4409
Phone: (262) 632-2074
Fax: (262) 632-2656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Procedural Dermatology Physician (primary) | Taxonomy 207NS0135X |
|---|
Record details
| NPI number | 1689757569 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cathy Dean — Administrator · (800) 485-8640 |
| NPI enumerated | October 23, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1515 S Greenbay Rd, Racine, WI 53406-4409 |