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Organization

FOREFRONT DERMATOLOGY SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BETSY JANE WERNLI MD (PRESIDENT)
(920) 683-5278
Entity
Organization

Contact information

Practice address
112 THOMAS JOHNSON DR STE 130, FREDERICK, MD 21702-4377
(301) 668-3004
(301) 668-3005
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

Other

Enumeration date
09/25/2024
Last updated
09/25/2024
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