Great Lakes Dermatology Sc

NPI #1851467047 in Mount Pleasant, Wisconsin

Provider Information

NPI Number: 1851467047
Entity Type: Organization
Organization Name: Great Lakes Dermatology Sc
Primary Specialty: Dermatology
Enumeration Date: Nov 28, 2006
Last Updated: May 26, 2015

Practice Location

Address: 6233 BANKERS RD
Address 2: SUITE 3
City: Mount Pleasant
State: Wisconsin
ZIP Code: 53403-9700
Phone: (262) 898-4400

Authorized Official

Name: KRISTY K OLSON
Title: MANAGER OF COMPLIANCE
Phone: (262) 989-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
MR. Michael Brent Dreifke, M.D.	Dermatology	Mount Pleasant	AI Deep Dive
DR. James V Lynott, MD	Dermatology	Mount Pleasant	AI Deep Dive
Ronald L. Smits, M.D.	Dermatology	Mount Pleasant	AI Deep Dive

Organizations

Provider Name	Specialty	City
Forefront Dermatology, S.c.	Dermatology	Mount Pleasant	AI Deep Dive
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