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Contact Information

AFFILIATED DERMATOLOGISTS, SC
10050 S 27TH ST STE 200
OAK CREEK, WI53154-5520
 Phone: 262-754-4488
 Fax: 262-754-4940
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for AFFILIATED DERMATOLOGISTS SC · (Female)

NPI # 1316656721
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2022
Last updated 11/17/2022 - About 4 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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