Individual
PAUL EDWARD WACLAWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(262) 798-7200
Mailing address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(262) 798-7200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81235
WI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/07/2020
Last updated
08/30/2023
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