Organization · Type 2 NPI

Forefront Dermatology SC

Dermatology Physician · Fort Wayne, IN

NPI number 1578097572 Active

Practice location

4020 New Vision Dr
Fort Wayne, IN 46845-1737

Fax (260) 420-2415

Mailing address

801 York St
Manitowoc, WI 54220-4630

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed
MOHS-Micrographic Surgery Physician 207ND0101XNone listed
Procedural Dermatology Physician 207NS0135XNone listed

Dermatology Physician: 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 an…

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About NPI 1578097572

Forefront Dermatology SC's National Provider Identifier is 1578097572, issued on Apr 17, 2017. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 28, 2026.