GREAT LAKES DERMATOLOGY

Procedural Dermatology Physician

NPI: 1558576322Organization

Specialties, Licenses & Credentials

Procedural Dermatology PhysicianPrimary

Dermatology — Procedural Dermatology

Code: 207NS0135X

Contact & Hours

Address: 3601 30TH AVE, SUITE 210
KENOSHA, WI 53144
Phone: (262) 658-2594

Quick Facts

NPI: 1558576322
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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