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
1800 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3817
(636) 200-9220
(636) 590-7659
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/29/2025
Last updated
02/03/2025
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