# ALLURE MEDICAL OF WISCONSIN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VEIN CENTER AT ALLURE MEDICAL SPA, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881182889
- **Legal business name:** VEIN CENTER AT ALLURE MEDICAL SPA, PLLC
- **Authorized official:** CHARLES K MOK MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (586) 786-5900

## Contact information

- **Practice address:** 1930 W BLUEMOUND RD STE 340, WAUKESHA, WI 53186
- **Practice address phone:** (262) 349-9371
- **Practice address fax:** (262) 408-5258
- **Mailing address:** 8180 26 MILE RD STE 300, SHELBY TWP, MI 48316-5139
- **Mailing address phone:** (586) 786-5900
- **Mailing address fax:** (586) 992-9331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/25/2018
- **Last updated:** 09/04/2018