FOREFRONT DERMATOLOGY, S.C.
NPI 1578515904
Dermatology in Manitowoc, WI

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

The NPI number for Forefront Dermatology, S.C. is 1578515904. It was assigned to this organization in the NPPES registry on May 16, 2006.

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

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since May 16, 2006CLIA Certified · 2 labs

1515 RANDOLPH CT, MANITOWOC, WI 54220(920) 683-5278(920) 482-0359 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2021, Oct 16, 2019, May 16, 2018 and 1 more (4 updates tracked since 2018).

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About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1578515904) is a healthcare organization registered as a dermatology in Manitowoc, Wisconsin and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1578515904

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameFOREFRONT DERMATOLOGY, S.C.

Location Address1515 RANDOLPH CTManitowoc, WI 54220

Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439

Phone(920) 683-5278

Fax(920) 482-0359

Organization SubpartNo

Authorized OfficialBetsy J WernliPresident · (920) 482-0671

Enumeration DateMay 16, 2006

Last NPPES UpdateApril 22, 20214 updates tracked since enumeration

NPPES CertifiedApril 22, 2021

✔ NPI 1578515904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

1515 RANDOLPH CT, Manitowoc, WI 54220

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Secondary Practice Locations 2

Location 1W7713 Johnson CtWautoma, WI 54982-5274 · Phone (920) 895-1004 · Fax (920) 895-1005

Location 2W176N9352 River Crest Dr Ste 3Menomonee Falls, WI 53051 · Phone (262) 345-2898 · Fax (262) 345-2899

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 52D2029954

Forefront Dermatology, Sc · Wautoma, WI

Active · expires Nov 26, 2027

CLIA Number52D2029954

Laboratory TypePhysician Office

Certificate Effective DateNovember 27, 2025

Certificate Expiration DateNovember 26, 2027

Laboratory DirectorDr. Kurt W. Grelck

Laboratory Phone(920) 895-1004

Laboratory LocationForefront Dermatology, ScW7713 Johnson Ct, Wautoma, WI 54982

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 52D2225376

Forefront Dermatology, Sc · Menomonee Falls, WI

Active · expires May 19, 2027

CLIA Number52D2225376

Laboratory TypePhysician Office

Certificate Effective DateMay 20, 2025

Certificate Expiration DateMay 19, 2027

Laboratory DirectorDr. Ashley M. Dietrich

Laboratory Phone(262) 345-2898

Laboratory LocationForefront Dermatology, ScW176n9352 River Crest Dr Ste 3, Menomonee Falls, WI 53051

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

KENNETH HENRY KATZ M.D.

Dermatology (MOHS-Micrographic Surgery)