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Great Lakes Dermatology
Procedural Dermatology Physician in Kenosha, Wisconsin
NPI 1558576322

Great Lakes Dermatology is a Procedural Dermatology Physician based in Kenosha, WI and is specialized in Procedural Dermatology. Great Lakes Dermatology practices in Kenosha, WI. The NPI Number for Great Lakes Dermatology is 1558576322 and holds a License No. (Wisconsin).

The current practice location address for Great Lakes Dermatology is 3601 30Th Ave, Kenosha, WI and can be reached out via phone at 262-658-2594. You can also correspond with Great Lakes Dermatology through the mailing address at 3610 30TH AVENUE, KENOSHA, WI - 53144 (mailing address contact number: ).

Location: 3601 30Th Ave, Kenosha, WI, 53144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558576322
Provider Name
Great Lakes Dermatology
Credential
Provider Entity Type
Organization
Address
3601 30Th Ave, Kenosha, WI, 53144
Phone Number
262-658-2594
Fax Number
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3601 30Th Ave
City
Kenosha
State
Wisconsin
Zip
53144-1695
Phone Number
262-658-2594
Fax Number
person
Provider Business Mailing Address Details
Address
3610 30Th Avenue
City
Kenosha
State
Wisconsin
Zip
53144
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
(Wisconsin)
Definition
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).
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