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Organization
ALLURE MEDICAL OF WISCONSIN PLLC
Active
Organization
ALLURE MEDICAL OF WISCONSIN PLLC
Active
Parent organization
VEIN CENTER AT ALLURE MEDICAL SPA, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VEIN CENTER AT ALLURE MEDICAL SPA, PLLC
Authorized official
CHARLES K MOK MD (PHYSICIAN/OWNER)
(586) 786-5900
Entity
Organization
Contact information
Practice address
1930 W BLUEMOUND RD STE 340, WAUKESHA, WI 53186
(262) 349-9371
(262) 408-5258
Mailing address
8180 26 MILE RD STE 300, SHELBY TWP, MI 48316-5139
(586) 786-5900
(586) 992-9331
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
04/25/2018
Last updated
09/04/2018
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