Individual provider · Type 1 NPI

Lawrence John Maciolek, MD

Orthopaedic Surgery of the Spine Physician · Glendale, WI

NPI number 1811925381 Active

Practice location

525 W River Woods Parkway, Suite 130
Glendale, WI 53212

Fax (414) 961-2061

Mailing address

575 W River Woods Pkwy, Suite 100
Glendale, WI 53212-1003

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X45567-020 (WI)
Orthopaedic Surgery of the Spine Physician Primary 207XS0117X45567-20 (WI)

Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

4 other providers at this address

About NPI 1811925381

Lawrence John Maciolek, MD's National Provider Identifier is 1811925381, issued on Jun 30, 2006. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Glendale, WI. The record was last updated on Nov 6, 2019.