Organization
FOREFRONT DERMATOLOGY, S.C.
Active
Other names
The Waldorf Center for Plastic Surgery, A Forefront Practice
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY WERNLI MD (PRESIDENT)
(920) 482-0671
Entity
Organization
Contact information
Practice address
1405 SE 164TH AVE STE 100, VANCOUVER, WA 98683-9644
(360) 614-2537
(360) 891-6602
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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