Organization
DERMATOLOGIC SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY G YUG M.D. (PHYSICIAN)
(414) 325-8500
Entity
Organization
Contact information
Practice address
6790 W LAYTON AVE, GREENFIELD, WI 53220-4527
(414) 325-8500
Mailing address
PO BOX 20768, GREENFIELD, WI 53220-0768
(414) 325-8500
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
31502-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811040926
NPI
WI
Enumeration date
05/29/2007
Last updated
08/22/2020
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