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
2601 COOLIDGE RD STE 200, EAST LANSING, MI 48823-6381
(517) 203-3000
(517) 203-3003
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9016
(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
10/29/2014
Last updated
11/05/2018
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