Organization
DERMATOLOGY AND MOHS SURGERY SKIN CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE MICHELE SCHUPBACH MD (OWNER/PHYSICIAN)
(309) 533-8899
Entity
Organization
Contact information
Practice address
110 BUSINESS PARK DR STE C, BRANSON, MO 65616-7449
(417) 336-0033
(417) 239-0127
Mailing address
110 BUSINESS PARK DR STE C, BRANSON, MO 65616-7449
(417) 336-0033
(855) 710-6552
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
05/02/2022
Last updated
12/17/2024
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