Organization
DERMATOLOGY AND MOHS SURGERY SKIN CANCER CENTER
Active
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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