Affiliated Dermatologists
NPI #1902205206 in Germantown, Wisconsin
Provider Information
- NPI Number
- 1902205206
- Entity Type
- Organization
- Organization Name
- Affiliated Dermatologists
- Primary Specialty
- Dermatology
- Enumeration Date
- Aug 22, 2014
- Last Updated
- May 28, 2021
Practice Location
- Address
- N96W17035 DIVISION RD
- Address 2
- SUITE A
- City
- Germantown
- State
- Wisconsin
- ZIP Code
- 53022-6419
- Phone
- (262) 754-4488
Authorized Official
- Name
- DR. JAMES P RUSSELL, M.D.
- Title
- PARTNER/AFFILIATED DERMATOLOGISTS
- Phone
- (262) 754-4488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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