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

Highlander Dermatology Llc is a Medical Specialty Clinic/Center based in Brookfield, WI and is specialized in Medical Specialty. Highlander Dermatology Llc practices in Brookfield, 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 16650 W Bluemound Rd Ste 600, Brookfield, WI and can be reached out via phone at 262-290-4540 and via fax at 262-299-6435.

Location: 16650 W Bluemound Rd Ste 600, Brookfield, WI, 53005-5970
institution
Provider Profile Details
NPI Number
1790216554
Provider Name
Highlander Dermatology Llc
Credential
Provider Entity Type
Organization
Address
16650 W Bluemound Rd Ste 600, Brookfield, WI, 53005-5970
Phone Number
262-290-4540
Fax Number
262-299-6435
Provider Enumeration Date
03/23/2017
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1518950153 05 WI
1215992979 01 WI NPI
1326031964 01 WI SOLE OWNER NPI: 1326031964. HIGHLANDER LLC TIN:
1912942285 05 WI
1518950153 01 WI NPI
1912942285 01 WI NPI
1215992979 05 WI
1346499738 01 WI NPI
1326031964 05 WI
1346499738 05 WI
institution
Provider Business Practice Location Address Details
Address
16650 W Bluemound Rd Ste 600
City
State
Zip
53005-5970
Phone Number
262-290-4540
Fax Number
262-299-6435
person
Provider Business Mailing Address Details
Address
16650 W Bluemound Rd Ste 600
City
State
Zip
53005-5970
Phone Number
262-290-4540
Fax Number
262-299-6435
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
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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