Organization
FACE AND SKIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY A PATTEE (PRACTICE MANAGER)
(920) 885-5225
Entity
Organization
Contact information
Practice address
120 PARK AVE STE 1, BEAVER DAM, WI 53916-2132
(920) 885-5225
(920) 356-6419
Mailing address
120 PARK AVE STE 1, BEAVER DAM, WI 53916-2132
(920) 885-5225
(920) 356-6419
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010205
—
WI
Enumeration date
03/23/2010
Last updated
01/11/2024
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