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Organization

DERMATOLOGY AND COSMETIC PHYSICIANS, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BURT STEFFES MD (CEO)
(262) 558-4367
Entity
Organization

Contact information

Practice address
2102 CONTINENTAL DR, WEST BEND, WI 53095-7898
(262) 558-4367
(920) 569-3369
Mailing address
2102 CONTINENTAL DR, WEST BEND, WI 53095-7898
(262) 558-4367
(920) 569-3369

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
53448-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548449614
WI
Enumeration date
06/11/2018
Last updated
03/15/2021
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