Organization
FOREFRONT DERMATOLOGY SC
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
11211 120TH AVE STE A009B, PLEASANT PRAIRIE, WI 53158-1703
(262) 283-5333
(262) 912-0137
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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