Forefront Dermatology, S.c.

NPI #1245506971 in Glendale, Wisconsin

Provider Information

NPI Number: 1245506971
Entity Type: Organization
Organization Name: Forefront Dermatology, S.c.
Primary Specialty: Dermatology
Enumeration Date: Mar 27, 2012
Last Updated: May 17, 2018

Practice Location

Address: 7040 N PORT WASHINGTON RD
Address 2: SUITE 404
City: Glendale
State: Wisconsin
ZIP Code: 53217
Phone: (414) 355-2405

Authorized Official

Name: DR. BETSY J WERNLI, MD
Title: PRESIDENT
Phone: (920) 482-0671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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