Dermatology, Procedural Dermatology
GREAT LAKES DERMATOLOGY
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1558576322 · enumerated 2007-05-14 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: CATHY DEAN, ADMINISTRATOR · (800) 485-8640
Addresses and phones
- Mailing address 3610 30TH AVENUE, SUITE 210, KENOSHA, WI, 53144 Google Maps Apple Maps OpenStreetMap
- Practice location 3601 30TH AVE, SUITE 210, KENOSHA, WI, 53144-1695 (262) 658-2594 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology, Procedural Dermatology 207NS0135X · Primary
In this directory
WI Kenosha County Kenosha Dermatology, Procedural Dermatology
Locations and evidence
-
Practice location
KENOSHA, WI, 531441695
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.