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DERMATOLOGIC SURGERY ASSOCIATES NPI 1013118959


NPI Information

NPI: 1013118959
Provider Name: DERMATOLOGIC SURGERY ASSOCIATES
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 52D1030698

Address:
6790 W LAYTON AVE
GREENFIELD, WI
ZIP 53220
Phone: (414) 325-8500
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DERMATOLOGIC SURGERY ASSOCIATES is a mohs-micrographic surgery dermatology in Greenfield, WI. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. DERMATOLOGIC SURGERY ASSOCIATES NPI is 1013118959. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6790 W LAYTON AVE
GREENFIELD, WI
ZIP 53220-527
Phone: (414) 325-8500

The provider's authorized official is Anthony G Yug .
The authorized official title is Physician and has the following contact phone number (414) 325-8500.

The CLIA number assigned to this NPI record is 52D1030698 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic Surgery31502-020WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11811040926OTHERWISCONSINNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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