Lawrence John Maciolek, M.D.

NPI #1811925381 in Glendale, Wisconsin

Provider Information

NPI Number: 1811925381
Entity Type: Individual
Name: Lawrence John Maciolek, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Credential: M.D.
Enumeration Date: Jun 30, 2006
Last Updated: Nov 6, 2019

Practice Location

Address: 525 W RIVER WOODS PARKWAY
Address 2: SUITE 130
City: Glendale
State: Wisconsin
ZIP Code: 53212
Phone: (414) 961-0304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X
Orthopaedic Surgery - Orthopaedic Surgery of the Spine — Orthopaedic Surgery of the Spine	207XS0117X	Primary

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