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FOREFRONT DERMATOLOGY S.C. NPI 1083768253


NPI Information

NPI: 1083768253
Provider Name: FOREFRONT DERMATOLOGY, S.C.
Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 52D1060886

Address:
3935 N LIGHTNING DR
APPLETON, WI
ZIP 54913
Phone: (920) 968-1790
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FOREFRONT DERMATOLOGY, S.C. is a dermatology in Appleton, WI. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. FOREFRONT DERMATOLOGY, S.C. NPI is 1083768253. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3935 N LIGHTNING DR
APPLETON, WI
ZIP 54913
Phone: (920) 968-1790
Fax: (920) 968-1794

The provider's authorized official is Betsy J Wernli .
The authorized official title is President and has the following contact phone number (920) 482-0671.

The CLIA number assigned to this NPI record is 52D1060886 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 5/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyYes
2207ND0101XDermatologyMOHS-Micrographic SurgeryNo
3207ND0900XDermatologyDermatopathologyNo
4207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyNo
5207NS0135XDermatologyProcedural DermatologyNo
6207ZP0101XPathologyAnatomic PathologyNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121325000MEDICAIDWISCONSIN

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: 4/28/2024

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