Organization
FOREFRONT DERMATOLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETSY J WERNLI MD (PRESIDENT)
(920) 482-0671
Entity
Organization
Contact information
Practice address
2121 S KINNICKINNIC AVE, #4, MILWAUKEE, WI 53207
(920) 663-9005
(920) 663-0970
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9005
(920) 682-0970
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
05/17/2018
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