Susan Dale Wall in Manitowoc - Procedural Dermatology
Susan Dale Wall - NPI 1962480970
Susan Dale Wall is a Procedural Dermatology in Manitowoc, Wisconsin. Susan Dale Wall practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Susan Dale Wall is 1962480970. The last update date is 2022-06-30.
Susan Dale Wall's current location address is 801 York St, Manitowoc, Wisconsin. You can contact this provider via phone number 9206639008 and fax number 9206841439. The mailing address for Susan Dale Wall is 801 York St, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Dale Wall |
|---|---|
| Address | 801 York St, Manitowoc, Wisconsin |
| Phone Number | 9206639008 |
| Fax Number | 9206841439 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962480970 |
|---|---|
| Provider Enumeration Date | 2006-01-09 |
| Last Updated Date | 2022-06-30 |
Provider Mailing Address Detail
| Address | 801 York St |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542204630 |
| Phone Number | 9206639008 |
| Fax Number | 9206841439 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 28400 |
|
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 surge |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 79301 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Susan Dale Wall by the Centers for Medicare & Medicaid Services?
The Susan Dale Wall has been assigned the NPI (National Provider Identifier) 1962480970 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Susan Dale Wall's physical address?
The Susan Dale Wall is physically located at 801 York St, in the city of Manitowoc, WI, with the postal code 542204630.
What is Susan Dale Wall's area of expertise and its corresponding taxonomy classification?
The Susan Dale Wall's field of specialization is Procedural Dermatology, and it falls under the taxonomy code 207Ns0135X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1962480970 assigned to Susan Dale Wall?
The Susan Dale Wall was issued its 1962480970 on 2006-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Susan Dale Wall, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan Dale Wall, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-06-30.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH