GREAT LAKES DERMATOLOGY
NPI 1689757569
Dermatology - Procedural Dermatology in Racine, WI
- Organization
- Dermatology
- Procedural Dermatology
About GREAT LAKES DERMATOLOGY
This page provides the complete NPI Profile along with additional information for Great Lakes Dermatology, a provider established in Racine, Wisconsin operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1689757569 assigned on October 2006. The practitioner's primary taxonomy code is 207NS0135X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Cathy J Dean (Administrator)
- NPI
- 1689757569 Verify this NPI
- Provider Name
- GREAT LAKES DERMATOLOGY
- Entity Type
- Organization
- Location Address
- 1515 S GREENBAY RD RACINE, WI 53406
- Location Phone
- (262) 632-2074
- Location Fax
- (262) 632-2656
- Mailing Address
- 1515 S GREENBAY RD RACINE, WI 53406
- Mailing Phone
- (262) 632-2074
- Mailing Fax
- (262) 632-2656
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-23-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology Procedural Dermatology
- Taxonomy Code
- 207NS0135X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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).
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Reviews for GREAT LAKES DERMATOLOGY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689757569, enumerated as an "organization" on October 23, 2006.
The provider is located at 1515 S GREENBAY RD RACINE, WI 53406 and the phone number is (262) 632-2074.
Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.
