Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREAT LAKES DERMATOLOGY
Active OrganizationGREAT LAKES DERMATOLOGY is a Procedural Dermatology organization located in PLEASANT PRAIRIE, Wisconsin. NPI 1205041688 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · PLEASANT PRAIRIE, WI
Registration Details
- NPI Number
- 1205041688
- Provider Type
- Organization
- NPI Issued
- May 11, 2007 (19.270818066646 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
9555 76TH STSUITE 2600PLEASANT PRAIRIE, WI, 531581984Browse WI providers · Browse ZIP 53158
- Phone
- 8004858640
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.