Organization
AFFILIATED COSMETIC AND PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH KLOEHN MD (OWNER)
(262) 691-7546
Entity
Organization
Contact information
Practice address
161 W WISCONSIN AVE, SUITE 1G, PEWAUKEE, WI 53072-3467
(262) 691-7546
Mailing address
161 W WISCONSIN AVE, SUITE 1G, PEWAUKEE, WI 53072-3467
(262) 691-7546
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
08/22/2020
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