Dermatology and Skin Cancer Center
NPI #1093596652 in Bloomington, Illinois
Provider Information
- NPI Number
- 1093596652
- Entity Type
- Organization
- Organization Name
- Dermatology and Skin Cancer Center
- Primary Specialty
- Dermatology
- Enumeration Date
- Oct 10, 2023
- Last Updated
- Dec 17, 2024
Practice Location
- Address
- 3302 GERIG DR STE 100
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-6343
- Phone
- (309) 533-7070
Authorized Official
- Name
- ADRIENNE SCHUPBACH, MD
- Title
- MD/PRACTICE OWNER
- Phone
- (309) 533-7070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
| Dermatology |
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