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Forefront Dermatology, S.C.

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Company Details

Name: Forefront Dermatology, S.C.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 13 Sep 2022 (3 years ago)
Business ID: 1357738
State of Incorporation: WISCONSIN
Principal Office Address: 801 York StreetManitowoc, WI 54220
Fictitious names: Forefront Dermatology, P.C.

Agent

Name Role Address
C. T. CORPORATION SYSTEM Agent 645 LAKELAND EAST DRIVE STE 101, FLOWOOD, MS 39232

President

Name Role Address
Betsy Wernli President 801 York Street, Manitowoc, WI 54220

Secretary

Name Role Address
Lisa Campbell Secretary 801 York Street, Manitowoc, WI 54220

Director

Name Role Address
Betsy J. Wernli MD Director 801 York Street, Manitowoc, WI 54220

Assistant Secretary

Name Role Address
Peter Katz Assistant Secretary 801 York Street, Manitowoc, WI 54220

Assistant Treasurer

Name Role Address
John Pujals Assistant Treasurer 801 York Street, Manitowoc, WI 54220

Treasurer

Name Role Address
Adam Asarch Treasurer 801 York Street, Manitowoc, WI 54220

National Provider Identifier

NPI Number:
1548996523
Certification Date:
2022-11-29

Authorized Person:

Name:
BETSY J WERNLI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207ND0101X - MOHS-Micrographic Surgery Physician
Is Primary:
No
Selected Taxonomy:
207NS0135X - Procedural Dermatology Physician
Is Primary:
No
Selected Taxonomy:
207N00000X - Dermatology Physician
Is Primary:
Yes

Contacts:

Fax:
9206841439
Fax:
6019144804

Filings

Type Status Filed Date Description
Annual Report Filed 2025-03-18 Annual Report For Forefront Dermatology, S.C.
Annual Report Filed 2024-04-17 Annual Report For Forefront Dermatology, S.C.
Annual Report Filed 2023-03-17 Annual Report For Forefront Dermatology, S.C.
Formation Form Filed 2022-09-13 Formation For Forefront Dermatology, S.C.

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Date of last update: 31 May 2025

Sources: Company Profile on Mississippi Secretary of State Website