Alex Colque, M.d. S.c.

NPI #1770862054 in Waukesha, Wisconsin

Provider Information

NPI Number: 1770862054
Entity Type: Organization
Organization Name: Alex Colque, M.d. S.c.
Primary Specialty: Plastic Surgery
Enumeration Date: Aug 4, 2011
Last Updated: Feb 3, 2020

Practice Location

Address: 21675 E MORELAND BLVD
Address 2: SUITE 100
City: Waukesha
State: Wisconsin
ZIP Code: 53186
Phone: (262) 781-9000

Authorized Official

Name: DR. ALEX P COLQUE, MD
Title: PRESIDENT AND CEO
Phone: (262) 781-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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