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Individual

DR. STEPHEN MARK WACLAWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
5312 S 27TH ST, MILWAUKEE, WI 53221-3724
(414) 281-4800
(414) 281-4891
Mailing address
5312 S 27TH ST, MILWAUKEE, WI 53221-3724
(414) 281-4800
(414) 281-4891

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1768-035
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
385130000
WI
Enumeration date
09/20/2006
Last updated
01/18/2008
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