Organization · Type 2 NPI

Great Lakes Dermatology

Procedural Dermatology Physician · Racine, WI

NPI number 1689757569 Active

Practice location

1515 S Greenbay Rd
Racine, WI 53406-4409

Fax (262) 632-2656

Specialties and licenses

TaxonomyCodeLicense
Procedural Dermatology Physician Primary 207NS0135XNone listed

Procedural Dermatology Physician: 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 t…

Another provider at this address

About NPI 1689757569

Great Lakes Dermatology's National Provider Identifier is 1689757569, issued on Oct 23, 2006. The primary taxonomy on file is Procedural Dermatology Physician (207NS0135X), and the practice location is in Racine, WI. The record was last updated on Aug 22, 2020.