ALLURE MEDICAL OF WISCONSIN PLLC


Address: 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186
Phone: 2623499371

ALLURE MEDICAL OF WISCONSIN PLLC (NPI# 1881182889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881182889
Entity Type Organization
Organization Name ALLURE MEDICAL OF WISCONSIN PLLC
Practice Address 1930 W Bluemound Rd Ste 340
Waukesha
WI 53186
Mailing Address 8180 26 Mile Rd Ste 300
Shelby Twp
MI 48316-5139
Practice Telephone 2623499371
Practice Fax Number 2624085258
Mailing Telephone 5867865900
Mailing Fax Number 5869929331
Enumeration Date 2018-04-25
Last Update Date 2018-09-04
Authorized Official Name CHARLES K MOK (PHYSICIAN/OWNER)
Authorized Official Telephone 5867865900
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name VEIN CENTER AT ALLURE MEDICAL SPA, PLLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities
Y 2086S0129X Surgery
Specialization: Vascular Surgery
Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1239 Corporate Center Dr, Oconomowoc, WI 530664898 2623499371

Office Location

Street Address 1930 W BLUEMOUND RD STE 340
City WAUKESHA
State WI
Zip Code 53186

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932678281 Vein Center At Allure Medical Spa, Pllc Clinic/Center 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186-8756 2018-11-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295391472 Christine Lowdon Triggs Dentist 21680 West Bluemound Rd, Waukesha, WI 53186 2019-05-14
1316462104 Mary B Mckee Dietitian, Registered 22370 W Bluemound Rd, #102, Waukesha, WI 53186 2017-08-14
1740738343 Rebecca Menelle Physical Therapist 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 2016-09-13
1568919876 Dianne Isnard Physical Therapist W231n1440 Corporate Court, Waukesha, WI 53186 2016-09-02
1982065991 Brandon James Decker Nurse Practitioner 21775 Hillcrest Drive, Waukesha, WI 53186 2016-03-18
1598142937 Sophia Marie Klingbiel Social Worker 1515 Paramount Dr., Waukesha, WI 53186 2015-05-06
1326478165 Glen D Haberman Dentist 141 Wisconsin Avenue, Waukesha, WI 53186 2013-11-14
1487991014 Sara Nicole Francis Counselor 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 2013-01-16
1770862054 Alex Colque, M.d. S.c. Plastic Surgery 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 2011-08-04
1033401443 Heather Davidson Chiropractor 21075 Swenson Drive Suite 700, Waukesha, WI 53186 2011-05-04
Find all providers in zip 53186

Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649454489 Warren H De Kraay Sr. Surgery 3325 Pleasant Lane, Racine, WI 53405 2007-12-27
1932308186 Great Lakes Medical & Surgical Center Surgery 6000 South 27th Street, Milwaukee, WI 53221 2007-07-17
1215020326 Richard J Grieshop Surgery 2424 S 90th St Ste 300, West Allis, WI 53227-2455 2006-10-02
1740245356 Deborah L Manjoney Surgery 1231 George Towne Drive, Suite G, Pewaukee, WI 53072 2006-04-18
1104880814 William D Turnipseed Surgery 2128 Bridge Ln, Verona, WI 53593-8838 2006-04-12
1104803352 John W Oren Surgery 10509 N Manor Cir, Mequon, WI 53092-5172 2005-12-29
1649264441 Milan Jordan Surgery 2300 Western Ave, Manitowoc, WI 54220-3712 2005-09-07
1275157943 Neurospine and Endovascular Center LLC Surgery 10500 W Loomis Rd Ste 120, Franklin, WI 53132-8030 2020-05-29
1699200378 Andrea Um Surgery Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 2017-05-01
1861855017 Alexander Donald Leung Surgery Uw Hospitals and Clinics, 600 Highland Ave, Madison, WI 53792-0001 2016-04-04
Find all providers with the same taxonomy

Competitor

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City WAUKESHA
Zip Code 53186

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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