Organization · Type 2 NPI
Plaza Dermatology, SC
Specialist · Stevens Point, WI
NPI number
1417041963
Active
Practice location
3508 E Maria Drive
Stevens Point, WI 54481-1334
Fax (715) 344-4356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 16752 (WI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other specialist providers in Stevens Point
About NPI 1417041963
Plaza Dermatology, SC's National Provider Identifier is 1417041963, issued on Oct 2, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Stevens Point, WI. The record was last updated on Aug 22, 2020.