Individual
MICHAEL WACLAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5312 S 27TH ST, MILWAUKEE, WI 53221-3724
(414) 281-4800
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3486-35
WI
Other
Enumeration date
07/09/2014
Last updated
06/06/2025
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