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Great Lakes Dermatology Sc

Dermatology Physician in Mount Pleasant, WI · enumerated 2006 · authorized official Kristy Olson, Manager of Compliance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1851467047

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Registry record

Entity type Organization (Type 2)
Legal business name Great Lakes Dermatology Sc
Other name <Unavail>
Practice address 6233 Bankers Rd, Suite 3, Mount Pleasant, WI, 53403
Phone (262) 898-4400
Fax (262) 898-4423
Enumeration date Nov 28, 2006
Last updated in NPPES May 26, 2015

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kristy Olson
Title Manager of Compliance
Phone (262) 989-4400

Other identifiers

Identifier Type State Issuer
CH7592 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-05-26. Verify at npiregistry.cms.hhs.gov.
Where is Great Lakes Dermatology Sc located?
The practice location on file with NPPES is in Mount Pleasant, WI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-26.