Radiant Dermatology, A Forefront Dermatology Practice – Dermatology Physician, NPI 1356072243

Radiant Dermatology, A Forefront Dermatology Practice is a healthcare provider. based in Manitowoc, Wisconsin. specializing in Dermatology Physician. The NPI Number for Radiant Dermatology, A Forefront Dermatology Practice is 1356072243

Main info

Organization
Name
Radiant Dermatology, A Forefront Dermatology Practice
NPI
1356072243
Phone
(920) 663-9008
Address
801 YORK ST
Authorized Official
BETSY J WERNLI PRESIDENT MD
Enumeration Date
21 June 2022
Last Update Date
21 June 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness80
Years active:3State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Radiant Dermatology, A Forefront Dermatology Practice

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 1740 MEDITERRANEAN DR STE 102

    SYCAMORE, IL 601783191

    Phone: (815) 981-4990

    Fax: (815) 517-0064

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54220)

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Frequently asked questions

Does Radiant Dermatology, A Forefront Dermatology Practice share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Radiant Dermatology, A Forefront Dermatology Practice uses 1356072243.
Does the file indicate Radiant Dermatology, A Forefront Dermatology Practice is practicing under active NPI?
Directory data currently reports Radiant Dermatology, A Forefront Dermatology Practice as active.
What is Radiant Dermatology, A Forefront Dermatology Practice's primary classification?
Dermatology Physician is the headline specialty for Radiant Dermatology, A Forefront Dermatology Practice here. Clinical services aligned with this taxonomy classification.
Does Radiant Dermatology, A Forefront Dermatology Practice list a practice location?
Patients near Manitowoc, Wisconsin may find Radiant Dermatology, A Forefront Dermatology Practice in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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