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FOREFRONT DERMATOLOGY, S.C.
NPI 1528951035
Plastic Surgery in Minneapolis, MN

Active since June 02, 2025CLIA 24D2207524 · Waiver
4825 OLSON MEMORIAL HWY STE 200, MINNEAPOLIS, MN 55422(763) 545-0443(763) 545-2784 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1528951035), doing business as Dba Minneapolis Plastic Surgery, A Forefront Practice, is a healthcare organization registered as a plastic surgery in Minneapolis, Minnesota and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through June 27, 2027 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1528951035
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address4825 OLSON MEMORIAL HWY STE 200Minneapolis, MN 55422-5141
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Phone(763) 545-0443
Fax(763) 545-2784
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateJune 2, 2025
Last NPPES UpdateJune 3, 2025
NPPES CertifiedJune 3, 2025
✔ NPI 1528951035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
4825 OLSON MEMORIAL HWY STE 200, Minneapolis, MN 55422
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Other Names 1

Doing Business AsDba Minneapolis Plastic Surgery, A Forefront Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2207524

Forefront Dermatology, Sc Dba Minneapolis Plastic Surgery, A Forefront Dermatology Practice · Golden Valley, MN
Active · expires Jun 27, 2027
CLIA Number24D2207524
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorDouglas Gervais
Laboratory Phone(763) 545-0443
Laboratory LocationForefront Dermatology, Sc Dba Minneapolis Plastic Surgery, A Forefront Dermatology Practice4825 Olson Memorial Hwy Ste 200, Golden Valley, MN 55422
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

RACHELLE ELJAZZAR MD
Surgery (Plastic and Reconstructive Surgery)
4825 OLSON MEMORIAL HWY STE 200
MINNEAPOLIS, MN 55422
Hennepin County (763) 545-0443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Forefront Dermatology, S.C.'s NPI number?

The NPI number for Forefront Dermatology, S.C. is 1528951035. It was assigned to this organization in the NPPES registry on June 2, 2025. The provider is doing business as dba Minneapolis Plastic Surgery, A Forefront Practice.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 4825 Olson Memorial Hwy Ste 200, Minneapolis, MN 55422. The listed phone number is (763) 545-0443.

What is Forefront Dermatology, S.C.'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Forefront Dermatology, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2207524) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Forefront Dermatology, S.C. was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.