Provider Demographics
NPI:1437378973
Name:WERNLI, BETSY JANE (MD)
Entity type:Individual
Prefix:
First Name:BETSY
Middle Name:JANE
Last Name:WERNLI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:801 YORK ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-4630
Mailing Address - Country:US
Mailing Address - Phone:920-663-9008
Mailing Address - Fax:920-684-1439
Practice Address - Street 1:1515 RANDOLPH CT
Practice Address - Street 2:
Practice Address - City:MANITOWOC
Practice Address - State:WI
Practice Address - Zip Code:54220-8345
Practice Address - Country:US
Practice Address - Phone:920-683-5278
Practice Address - Fax:920-482-0359
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2024-09-16
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Provider Licenses
StateLicense IDTaxonomies
WI55439207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1437378973Medicaid
WI382000029Medicare PIN