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Contact Information

FOREFRONT DERMATOLOGY, S.C.
33 GREEN BAY RD
STURGEON BAY, WI54235
 Phone: 920-746-4434
 Fax: 920-746-4436
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

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

NPI # 1700830650
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2006
Last updated 05/17/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 21288800
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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