Organization
FOREFRONT DERMATOLOGY, S.C.
Active
Other names
Heartland Dermatology, 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
12327 STRATFORD DR, CLIVE, IA 50325
(515) 224-7088
(515) 224-9228
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
07/19/2017
Last updated
06/17/2024
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