Forefront Dermatology, S.C.
Dermatology in Grand Rapids, MI. Organization (NPI-2).
NPI number1487063392
StatusActive
Last updated in NPPESMay 16, 2018
Details
- NPI
- 1487063392
- Entity type
- Organization (NPI-2)
- Legal business name
- Forefront Dermatology, S.C.
- Organization subpart
- No
- Enumeration date
- Aug 5, 2014
- Last updated
- May 16, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 207NS0135X | Dermatology, Procedural Dermatology | – | – |
Practice location
1000 E Paris Ave SeSuite 214
Grand Rapids, MI 49546
Phone 616-957-2060 · Fax 616-957-0388
Mailing address
801 York StManitowoc, WI 54220-4630
Phone 866-630-9882 · Fax 920-683-2131
Authorized official
Betsy J Wernli
President
9204820671
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