Organization
SKINPHYSICIANS & SURGEONS MEDICAL GROUP, INC.
Active
Other names
SkinPhysicians & Surgeons, A Forefront Dermatology Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETSY J WERNLI MD (PRESIDENT)
(920) 482-0671
Entity
Organization
Contact information
Practice address
859 E FOOTHILL BLVD STE B, UPLAND, CA 91786-4085
(909) 981-8929
(909) 946-9740
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
—
—
Other
Enumeration date
11/08/2006
Last updated
10/04/2023
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