Great Lakes Dermatology

NPI #1689757569 in Racine, Wisconsin

Provider Information

NPI Number
1689757569
Entity Type
Organization
Organization Name
Great Lakes Dermatology
Primary Specialty
Dermatology - Procedural Dermatology
Enumeration Date
Oct 23, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1515 S GREENBAY RD
City
Racine
ZIP Code
53406-4409
Phone
(262) 632-2074

Authorized Official

Name
MS. CATHY J DEAN
Title
ADMINISTRATOR
Phone
(800) 485-8640

Specialties & Taxonomy Codes

Specialty
Dermatology - Procedural DermatologyProcedural Dermatology

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