Organization
FOREFRONT DERMATOLOGY, S.C.
Active
Other names
dba Advanced Dermatology, A Forefront Dermatology Practice
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY J WERNLI MD (PRESIDENT)
(920) 482-0671
Entity
Organization
Contact information
Practice address
10905 MEMORIAL HERMANN DR STE 211, PEARLAND, TX 77584-3490
(281) 665-4444
(281) 412-6740
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
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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