Forefront Dermatology, S.C.
Dermatology in Webster Groves, MO. Organization (NPI-2).
NPI number1982140265
StatusActive
Last updated in NPPESMay 17, 2018
Details
- NPI
- 1982140265
- Entity type
- Organization (NPI-2)
- Legal business name
- Forefront Dermatology, S.C.
- Organization subpart
- No
- Enumeration date
- Jan 11, 2017
- Last updated
- May 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – | |
| 207NS0135X | Dermatology, Procedural Dermatology | – | – |
Practice location
8567 Watson RdWebster Groves, MO 63119
Phone 314-528-9040 · Fax 314-528-9041
Mailing address
801 York StManitowoc, WI 54220-4630
Phone 920-663-9016 · Fax 920-684-1439
Authorized official
Betsy J Wernli
President
9204820671
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