Great Lakes Plastic Surgery Sc

NPI #1346213980 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1346213980
Entity Type: Organization
Organization Name: Great Lakes Plastic Surgery Sc
Primary Specialty: Plastic Surgery
Enumeration Date: Feb 13, 2006
Last Updated: Jan 11, 2010

Practice Location

Address: 1526 N TAYLOR DR
City: Sheboygan
State: Wisconsin
ZIP Code: 53081-1927
Phone: (920) 803-1598

Authorized Official

Name: DR. JEFFREY A HEROLD, MD
Title: PLASTIC SURGEON
Phone: (920) 803-1598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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Thaddeus P O'neill, MD	Plastic Surgery	Sheboygan	AI Deep Dive
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Pamela R Portschy, M.D.	Plastic Surgery	Sheboygan	AI Deep Dive
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DR. Philip L Sonderman, MD	Plastic Surgery	Brookfield	AI Deep Dive

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