Great Lakes Dermatology SC
Great Lakes Dermatology SC is a Dermatology Physician in Mount Pleasant, Wisconsin. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
6233 Bankers Rd Ste 3Mount Pleasant, WI 53403-9700
Phone: (262) 898-4400
Fax: (262) 898-4423
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Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1851467047 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristy Olson — Manager Of Compliance · (262) 989-4400 |
| Other names | Ascend Dermatology |
| NPI enumerated | November 28, 2006 |
| Last updated in NPPES | May 26, 2015 |
| Mailing address | 6233 Bankers Rd Ste 3, Mount Pleasant, WI 53403-9700 |
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