Organization
DERMATOLOGY PARTNERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PENWELL (BILLING MANAGER)
(419) 626-6700
Entity
Organization
Contact information
Practice address
2500 W STRUB RD, SUITE 330, SANDUSKY, OH 44870-5390
(419) 626-6700
(419) 626-6710
Mailing address
2500 W STRUB RD, SUITE 330, SANDUSKY, OH 44870-5390
(419) 626-6700
(419) 626-6710
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35070175
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168702
ANTHEM BLUE CROSS
OH
05
—
2364481
—
OH
01
—
CN 7786
RR MEDICARE
OH
Enumeration date
11/30/2006
Last updated
09/19/2025
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