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

Wisconsin Dermatology LLC

Organization Dermatology Physician · NPI 1174200562

Wisconsin Dermatology LLC is a Dermatology Physician in Mount Pleasant, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5439 Durand Ave Ste 100
Mount Pleasant, WI 53406-5058
Phone: (262) 898-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1174200562
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Saigh — President · (262) 898-9000
NPI enumeratedJune 28, 2023
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address5439 Durand Ave Ste 100, Mount Pleasant, WI 53406-5058

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