Organization
THOMAS G. KORKOS M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GEORGE KORKOS (PLASTIC SURGEON)
(262) 970-5600
Entity
Organization
Contact information
Practice address
N4W22370 BLUEMOUND RD, SUITE 100, WAUKESHA, WI 53186-1683
(262) 970-5600
(262) 970-5950
Mailing address
N4W22370 BLUEMOUND RD, SUITE 100, WAUKESHA, WI 53186-1683
(262) 970-5600
(262) 970-5950
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
34141
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32219100
—
WI
Enumeration date
11/13/2006
Last updated
08/22/2020
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