Organization
FOREFRONT DERMATOLOGY, S.C.
Active
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
5505 PEACHTREE DUNWOODY RD STE 412, ATLANTA, GA 30342-1758
(404) 459-9177
(404) 389-0400
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
04/04/2019
Last updated
11/08/2023
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