Great Lakes Dermatology

LBN: Great Lakes Dermatology
Great Lakes Dermatology is an health care organization with primary practice located at 3601 30Th Ave Suite 210, Kenosha WI 53144-1695. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. Great Lakes Dermatology can be contacted via phone (262) 658-2594, or through Dean, Cathy via phone (800) 485-8640.

Contact Information

Primary practice address
3601 30Th Ave Suite 210 Kenosha WI 53144-1695
Phone: (262) 658-2594
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dean, Cathy
Phone: (800) 485-8640

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X Wisconsin

Profile Details

NPI number 1558576322
LBN Legal business name Great Lakes Dermatology
DBA Doing business as
Authorized official Dean, Cathy
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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