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Deactivated NPI 1073669636 Deactivated / Inactive NPI Male Practitioner

Dr. Ralph Kloehn , MD

Plastic Surgery • Pewaukee, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ralph Kloehn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 26, 2007
NPI Deactivation Date June 12, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Kloehn, MD was a registered Plastic Surgery practicing in Pewaukee, WI. Throughout an active medical career spanning 18 years, Dr. Kloehn provided care at the practice location at 161 W WISCONSIN AVE until profile deactivation on 2025-06-12.

Practice Location & Contact Primary Location

Practice Address

161 W Wisconsin Ave
Suite 1g

Pewaukee, WI 530723467

Telephone 2626917546
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Pewaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Pewaukee, WI (98 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License WI 14621

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Jessica Dawn Corey , LPC

Counselor - Professional

NPI 1114285202

Licensed Professional Counselor

Mark Erickson , PT

Physical Therapist - Orthopedic

NPI 1225325111

Physical Therapist

Dr. Lori Pyter , PsyD

Psychologist - Clinical

NPI 1467462275

Doctor of Psychology (Psy.D.)

Jacqueline Borthwick

Psychologist - Clinical

NPI 1497208110
Nicole Herdegen , ATRL-BC

Counselor - Mental Health

NPI 1659665701

ATRLBC

Dr. Beth Johnson , PsyD

Psychologist - Clinical

NPI 1811925613

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 12, 2025

Record deactivated on June 12, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 161 W WISCONSIN AVE, SUITE 1G, PEWAUKEE, WI 530723467 (Tel: 2626917546)

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Updated Business Mailing Address July 08, 2007

Registered at 161 W WISCONSIN AVE, SUITE 1G, PEWAUKEE, WI 530723467 (Tel: 2626917546)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RALPH KLOEHN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #14621 in WI)

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Initial NPI Registration & Enumeration January 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073669636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2007
Last Update: July 08, 2007
Deactivation Date: June 12, 2025

Mailing Address

161 W Wisconsin Ave, Suite 1g

Pewaukee, WI 530723467

Phone: 2626917546

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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