North Shore Dermatology, S.C.
Dermatology in Mequon, WI. Organization (NPI-2).
NPI number1649399080
StatusActive
Last updated in NPPESAug 31, 2007
Details
- NPI
- 1649399080
- Entity type
- Organization (NPI-2)
- Legal business name
- North Shore Dermatology, S.C.
- Organization subpart
- No
- Enumeration date
- Mar 28, 2007
- Last updated
- Aug 31, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Other names
- Drs. Meister And Bonfiglio, S.C. (Former Legal Business Name)
Practice location
10303 N Port Washington RdSuite 101
Mequon, WI 53092-5760
Phone 262-240-0440 · Fax 262-240-0441
Mailing address
10303 N Port Washington RdSuite 101
Mequon, WI 53092-5760
Phone 262-240-0440 · Fax 262-240-0441
Authorized official
Anthony Bonfiglio
Owner Physician
2622400440
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Other Dermatology Physician providers in Mequon, WI
- Anthony Bonfiglio, MDNPI 1144319104
- Forefront Dermatology, S.C.NPI 1225473713
- Lori A Heinrich, MDNPI 1184719288
- Michael John KnabelNPI 1295231769
- David W Mai, MDNPI 1275568669
- Gabriela Madeleine Morris, M.D.NPI 1366936411
All 7 Dermatology Physician providers in Mequon · All 1,400 providers in Mequon
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