Organization
FOREFRONT DERMATOLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE ANGER (SR DIRECTOR, PROVIDER ENROLLMENT)
(920) 663-9022
Entity
Organization
Contact information
Practice address
217 RICE LAKE SQ, WHEATON, IL 60189-2136
(630) 221-1883
(630) 221-1885
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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