Organization
ALEX COLQUE, M.D. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX P COLQUE MD (PRESIDENT AND CEO)
(262) 781-9000
Entity
Organization
Contact information
Practice address
21675 E MORELAND BLVD, SUITE 100, WAUKESHA, WI 53186
(262) 781-9000
(262) 395-4068
Mailing address
21675 E MORELAND BLVD, SUITE 100, WAUKESHA, WI 53186
(262) 781-9000
(262) 395-4068
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
55219020
WI
Other
Enumeration date
08/04/2011
Last updated
02/03/2020
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