Organization
FOREFRONT DERMATOLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETSY J WERNLI MD (PRESIDENT)
(920) 482-0671
Entity
Organization
Contact information
Practice address
535 HOSPITAL RD, C/O NEW RICHMOND SPECIALTY CLINIC, NEW RICHMOND, WI 54017
(715) 246-4624
(715) 386-5508
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9010
(920) 663-9009
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
04/11/2013
Last updated
11/07/2018
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