Organization · Type 2 NPI

Mequon Plastic Surgeons SC

Plastic and Reconstructive Surgery Physician · Mequon, WI

NPI number 1043135973 Active

Practice location

10554 N Port Washington Rd
Mequon, WI 53092-5537

Fax (262) 241-5816

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

2 other providers at this address

About NPI 1043135973

Mequon Plastic Surgeons SC's National Provider Identifier is 1043135973, issued on Aug 11, 2026. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Mequon, WI. The record was last updated on Aug 11, 2026.