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NPI Profile for GREAT LAKES DERMATOLOGY in PLEASANT PRAIRIE, WI.
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Procedural Dermatology |
207NS0135X | 07 | Physician/Dermatology |
| NPI Number | 1205041688 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/11/2007 | |
| Last updated | 08/22/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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GREAT LAKES DERMATOLOGY