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
911 N SHELBY STREET, ST. VINCENT SALEM HOSPITAL, SPECIALTY CLINIC, SALEM, IN 47167
(812) 883-8527
(812) 883-8574
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9010
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
05/08/2015
Last updated
05/16/2018
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