Organization
FOREFRONT DERMATOLOGY, S.C.
Active
Other names
Arizona Dermatology Group, 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
820 AINSWORTH DR STE A, PRESCOTT, AZ 86301-1613
(928) 777-5800
(928) 776-0405
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
—
—
208200000X
Plastic Surgery Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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