GREAT LAKES DERMATOLOGY - NPI 1205041688 - Dermatology in Pleasant Prairie, WI

Q: What is Great Lakes Dermatology's NPI number?

The NPI number for Great Lakes Dermatology is 1205041688. It was assigned to this organization in the NPPES registry on May 11, 2007.

Q: What is Great Lakes Dermatology's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

On this page

About Great Lakes Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT LAKES DERMATOLOGY (NPI 1205041688) is a healthcare organization registered as a procedural dermatology in Pleasant Prairie, Wisconsin and active in the NPI registry since May 2007. The organization lists Cathy Dean, Administrator, as its authorized official.

NPPES Registry Identity

NPI1205041688

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameGREAT LAKES DERMATOLOGY

Location Address9555 76TH ST, SUITE 2600Pleasant Prairie, WI 53158-1984

Mailing Address9555 76th St, Suite 2600Pleasant Prairie, WI 53158-1984

Phone(800) 485-8640

Organization SubpartNo

Authorized OfficialCathy DeanAdministrator · (800) 485-8640

Enumeration DateMay 11, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1205041688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

9555 76TH ST, Pleasant Prairie, WI 53158

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FROEDTERT SOUTH, INC.

General Acute Care Hospital