Organization
FOREFRONT DERMATOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY J WERNLI MD (PRESIDENT)
(920) 663-9008
Entity
Organization
Contact information
Practice address
3025 HAMAKER CT STE 340, FAIRFAX, VA 22031-2237
(703) 849-8036
(703) 204-3448
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
07/22/2024
Last updated
07/22/2024
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