Organization
FOREFRONT DERMATOLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE L ANGER (SR. DIRECTOR, PROVIDER ENROLLMENT)
(920) 663-9008
Entity
Organization
Contact information
Practice address
N4531 STATE HIGHWAY 22 STE 5, SHAWANO, WI 54166-6173
(715) 524-5995
(715) 953-4257
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
08/23/2024
Last updated
08/23/2024
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