Individual
ALYSSA MOHOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8320 W BLUEMOUND RD, WAUWATOSA, WI 53213-3367
(414) 302-3800
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61469
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100034646
—
WI
Enumeration date
03/28/2012
Last updated
10/21/2024
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