Dermatology Associates Of Wisconsin Sc

NPI 1083768253 - Dermatology - 207NS0135X

NPI Details
NPI 1083768253
Enumeration Date 01/23/2007
Last Updated 03/24/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH KENNETH
Position PRESIDENT
Phone (920) 968-1790
Fax
Practice Location
3935 N LIGHTNING DR
APPLETON WI, 54913-6717, US
Phone (920) 968-1790
Fax
Business Location
801 YORK ST
MANITOWOC WI, 54220-4630, US
Phone (920) 683-5278
Fax (920) 686-9674
Toxanomy
Taxonomy Code 207NS0135X
License State
License Number
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According to our database, Dermatology Associates Of Wisconsin Sc NPI is 1083768253, taxonomy code is 207NS0135X Dermatology Associates Of Wisconsin Sc physically located at 3935 N Lightning Dr, Appleton WI, 54913-6717. NPI Number 1033115704 has the healthcare provider type.

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1083768253 NPI number is provided on an as is basis without warranty of any kind. 1083768253 is maintained by the National Plan & Provider Enumeration System. The contents of Dermatology Associates Of Wisconsin Sc are for informational purposes only.