AFFILIATED COSMETIC AND PLASTIC SURGERY NPI 1861548430

NPI Information

  • NPI: 1861548430
  • Provider Name: AFFILIATED COSMETIC AND PLASTIC SURGERY
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 161 W WISCONSIN AVE
    SUITE 1G
    PEWAUKEE, WI
    ZIP 53072
  • Phone: (262) 691-7546

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NPI Details

AFFILIATED COSMETIC AND PLASTIC SURGERY is a plastic surgery in Pewaukee, WI. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. AFFILIATED COSMETIC AND PLASTIC SURGERY NPI is 1861548430. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

161 W WISCONSIN AVE
SUITE 1G
PEWAUKEE, WI
ZIP 53072-467
Phone: (262) 691-7546

The provider's authorized official is Ralph Kloehn .
The authorized official title is Owner and has the following contact phone number (262) 691-7546.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryYes

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This page was last updated on: 3/30/2025

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