Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Lakes Dermatology SC

Organization Dermatology Physician · NPI 1851467047

Great Lakes Dermatology SC provides Dermatology Physician services in Mount Pleasant, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

6233 Bankers Rd Ste 3
Mount Pleasant, WI 53403-9700 Not confirmed with CMS for 11 years — call before visiting
Phone: (262) 898-4400
Fax: (262) 898-4423
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1851467047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristy Olson — Manager Of Compliance · (262) 989-4400
Other names Ascend Dermatology
NPI enumeratedNovember 28, 2006
Last updated in NPPESMay 26, 2015
Mailing address6233 Bankers Rd Ste 3, Mount Pleasant, WI 53403-9700

Other providers in Mount Pleasant