NPI 1770862054

Alex Colque, M.D. S.C.

Organisation Plastic Surgery Physician Waukesha, WI

Practice location

Address: 21675 E Moreland Blvd Suite 100, Waukesha, WI 53186
Phone: (262) 781-9000
Fax: (262) 395-4068

Authorised official

Name: Alex P Colque
Title: President and Ceo
Phone: (262) 781-9000

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 55219020 (WI)

Other Plastic Surgery providers in Wisconsin →

Registry record

NPI: 1770862054
Entity type: Organization
NPI issued: 4 Aug 2011
Record last updated: 3 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.