Dermatology and Mohs Surgery Skin Cancer Center

NPI #1124763479 in Branson, Missouri

Provider Information

NPI Number: 1124763479
Entity Type: Organization
Organization Name: Dermatology and Mohs Surgery Skin Cancer Center
Primary Specialty: Dermatology
Enumeration Date: May 2, 2022
Last Updated: Dec 17, 2024

Practice Location

Address: 110 BUSINESS PARK DR STE C
City: Branson
State: Missouri
ZIP Code: 65616-7449
Phone: (417) 336-0033

Authorized Official

Name: ADRIENNE MICHELE SCHUPBACH, MD
Title: OWNER/PHYSICIAN
Phone: (309) 533-8899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology	207N00000X	Primary

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