Organization
FOREFRONT DERMATOLOGY, S.C.
Active
Other names
Dermatology & Plastic Surgery, A Forefront 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
6559 N WICKHAM RD STE C-105, MELBOURNE, FL 32940-2039
(321) 395-3298
(321) 241-1161
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
—
—
208200000X
Plastic Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
09/01/2020
Last updated
07/28/2021
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