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 J WERNLI MD (PRESIDENT)
(920) 482-0671
Entity
Organization
Contact information
Practice address
9775 SW WILSHIRE ST STE 200, PORTLAND, OR 97225-5067
(503) 646-0101
(503) 350-1420
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
10/31/2023
Last updated
10/31/2023
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