New Dermatology Group Ltd

NPI #1013350958 in Green Bay, Wisconsin

Provider Information

NPI Number: 1013350958
Entity Type: Organization
Organization Name: New Dermatology Group Ltd
Primary Specialty: Dermatology
Enumeration Date: Apr 10, 2013
Last Updated: Apr 10, 2013

Practice Location

Address: 704 S WEBSTER AVE
City: Green Bay
State: Wisconsin
ZIP Code: 54301-3528
Phone: (920) 965-0345

Authorized Official

Name: KEVAN LEWIS
Title: OWNER
Phone: (920) 965-0345

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Dermatopathology — Dermatopathology	207ND0900X
Dermatology - Clinical & Laboratory Dermatological Immunology — Clinical & Laboratory Dermatological Immunology	207NI0002X
Dermatology - Pediatric Dermatology — Pediatric Dermatology	207NP0225X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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