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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, S.C.

NPI Number 1700830650
LBN Legal business name FOREFRONT DERMATOLOGY, S.C.
Authorized official BETSY WERNLI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2006
Last updated 05/17/2018 - About 8 years ago
Identifiers
WI Medicaid 21288800
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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