Individual
ALEX COLQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21675 E. MORELAND BLVD., SUITE 100, WAUKESHA, WI 53186-2906
(262) 781-9000
(262) 395-4068
Mailing address
21675 E. MORELAND BLVD., SUITE 100, WAUKESHA, WI 53186-2906
(262) 781-9000
(262) 395-4068
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
55219020
WI
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
55219020
WI
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
55219020
WI
Other
Enumeration date
01/30/2007
Last updated
01/10/2014
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