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Highlander Dermatology Llc
Medical Specialty Clinic/Center in Waukesha, Wisconsin
NPI 1790216554

Highlander Dermatology Llc is a Medical Specialty Clinic/Center based in Waukesha, WI and is specialized in Medical Specialty. Highlander Dermatology Llc practices in Waukesha, WI. The NPI Number for Highlander Dermatology Llc is 1790216554 and holds a License No. H059290 (Wisconsin).

The current practice location address for Highlander Dermatology Llc is 2607 N Grandview Blvd, Waukesha, WI and can be reached out via phone at 414-455-0919. You can also correspond with Highlander Dermatology Llc through the mailing address at 2607 N GRANDVIEW BLVD, WAUKESHA, WI - 53188-1686 (mailing address contact number: 262-290-4540).

Location: 2607 N Grandview Blvd, Waukesha, WI, 53188-1686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790216554
Provider Name
Highlander Dermatology Llc
Credential
Provider Entity Type
Organization
Address
2607 N Grandview Blvd, Waukesha, WI, 53188-1686
Phone Number
414-455-0919
Fax Number
Provider Enumeration Date
03/23/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1326031964 01 WI SOLE OWNER NPI: 1326031964. HIGHLANDER LLC TIN:
institution
Provider Business Practice Location Address Details
Address
2607 N Grandview Blvd
City
Waukesha
State
Wisconsin
Zip
53188-1686
Phone Number
414-455-0919
Fax Number
person
Provider Business Mailing Address Details
Address
2607 N Grandview Blvd
City
Waukesha
State
Wisconsin
Zip
53188-1686
Phone Number
262-290-4540
Fax Number
262-229-2220
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
H059290 (Wisconsin)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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