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

New Dermatology Group Ltd

Organization Dermatology Physician · NPI 1356784334

New Dermatology Group Ltd is a Dermatology Physician in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013
Specialties on file
5
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1747 Shawano Ave
Green Bay, WI 54303-3243
Phone: (920) 965-0345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 53110-20 (WI)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 53110-20 (WI)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 53110-20 (WI)
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X · Licence 53110-20 (WI)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 53110-20 (WI)

Record details

NPI number1356784334
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevan Lewis — Owner · (920) 965-0345
NPI enumeratedApril 9, 2013
Last updated in NPPESApril 9, 2013
Mailing address2221 S Webster Ave, Ste 241, Green Bay, WI 54301-2158

Other providers in Green Bay