Forefront Dermatology, S.c.

NPI #1811279417 in Wautoma, Wisconsin

Provider Information

NPI Number: 1811279417
Entity Type: Organization
Organization Name: Forefront Dermatology, S.c.
Primary Specialty: Dermatology
Enumeration Date: Sep 9, 2011
Last Updated: May 17, 2018

Practice Location

Address: 900 E DIVISION ST
City: Wautoma
State: Wisconsin
ZIP Code: 54982
Phone: (920) 787-0837

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Dermatology	207N00000X	Primary

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