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Organization

ABOVE AND BEYOND DERMATOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN LEWELLIS MD, PHD (PHYSICIAN/OWNER)
(715) 391-9774
Entity
Organization

Contact information

Practice address
3002 N 7TH ST, WAUSAU, WI 54403-3003
(507) 218-7199
Mailing address
3002 N 7TH ST, WAUSAU, WI 54403-3003
(507) 218-7199

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
11/24/2023
Last updated
11/11/2024
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