Organization
VEIN CENTER AT ALLURE MEDICAL SPA, PLLC
Active
Other names
Charles Mok, DO
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN RYNKOWSKI (ADMINISTRATIVE)
(586) 992-8300
Entity
Organization
Contact information
Practice address
8180 26 MILE RD, SUITE 300, SHELBY TOWNSHIP, MI 48316-5129
(586) 992-8300
(586) 992-9331
Mailing address
8180 26 MILE RD STE 300, SHELBY TOWNSHIP, MI 48316-5139
(586) 992-8300
(586) 992-9331
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301096552
MI
207R00000X
Internal Medicine Physician
5101014643
MI
208600000X
Surgery Physician
Primary
5101010912
MI
2086S0129X
Vascular Surgery Physician
5315053921
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457302051
—
MI
01
—
201981170
ALL INSURANCE
MI
Enumeration date
05/16/2006
Last updated
07/19/2022
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