Organization
ADVANCED DERMATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY H SHARATA M.D., PH.D (DERMATOLOGIST,MEDICAL DIRECTOR)
(608) 826-0825
Entity
Organization
Contact information
Practice address
6510 GRAND TETON PLZ STE 302, MADISON, WI 53719-1029
(608) 826-0285
(608) 826-0281
Mailing address
6510 GRAND TETON PLZ, SUITE 302, MADISON, WI 53719-1029
(608) 826-0285
(608) 826-0280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35716020
WI
Other
Enumeration date
04/09/2007
Last updated
06/10/2020
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