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Contact Information

FOREFRONT DERMATOLOGY, S.C.
1317 W GRAND AVE
SUITE 5
PORT WASHINGTON, WI53074
 Phone: 920-683-5278
 Fax: 920-686-9674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for FOREFRONT DERMATOLOGY SC · (Female)

NPI # 1497049969
Status Active
Credentials
Entity Individual
Enumeration date 06/02/2011
Last updated 05/17/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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