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Great Lakes Dermatology
Procedural Dermatology Physician in Racine, Wisconsin
NPI 1689757569

Great Lakes Dermatology is a Procedural Dermatology Physician based in Racine, WI and is specialized in Procedural Dermatology. Great Lakes Dermatology practices in Racine, WI. The NPI Number for Great Lakes Dermatology is 1689757569 and holds a License No. (Wisconsin).

The current practice location address for Great Lakes Dermatology is 1515 S Greenbay Rd, Racine, WI and can be reached out via phone at 262-632-2074 and via fax at 262-632-2656. You can also correspond with Great Lakes Dermatology through the mailing address at 1515 S GREENBAY RD, RACINE, WI - 53406-4409 (mailing address contact number: 262-632-2074).

Location: 1515 S Greenbay Rd, Racine, WI, 53406-4409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689757569
Provider Name
Great Lakes Dermatology
Credential
Provider Entity Type
Organization
Address
1515 S Greenbay Rd, Racine, WI, 53406-4409
Phone Number
262-632-2074
Fax Number
262-632-2656
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1515 S Greenbay Rd
City
Racine
State
Wisconsin
Zip
53406-4409
Phone Number
262-632-2074
Fax Number
262-632-2656
person
Provider Business Mailing Address Details
Address
1515 S Greenbay Rd
City
Racine
State
Wisconsin
Zip
53406-4409
Phone Number
262-632-2074
Fax Number
262-632-2656
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Procedural Dermatology
Taxonomy
207NS0135X
License No.
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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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