GREAT LAKES DERMATOLOGY – NPI #1558576322
Dermatology
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).
GREAT LAKES DERMATOLOGY is a dermatologist located in KENOSHA, WI. NPPES has assigned the NPI number 1558576322 to GREAT LAKES DERMATOLOGY on May 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology
The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GREAT LAKES DERMATOLOGY below.
NPI Profile for
GREAT LAKES DERMATOLOGY
(more than 19 years ago)
SUITE 210
KENOSHA, WI 53144-1695 Phone: (262) 658-2594 Fax:
SUITE 210
KENOSHA, WI 53144 Phone: Fax:
ADMINISTRATOR
Phone: (800) 485-8640
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207NS0135X - Dermatology / Procedural Dermatology (Primary) |
WI |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.