IndividualActive
Lawrence Maciolek, M.D.
NPI 1811925381 · Orthopaedic Surgery of the Spine Physician · Glendale, WI
Provider details
- NPI number
- 1811925381
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 45567-020 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
525 W River Woods Parkway
Suite 130
Glendale, WI 53212
Phone: (414) 961-0304
Fax: (414) 961-2061
Approximate (ZIP-level) locationGet directions
Mailing address
575 W River Woods Pkwy
Glendale, WI 53212-1003
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2019-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.