Individual
DR. MICHAEL G WADZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5855 SUNNYBROOK DR., SIOUX CITY, IA 51106
(712) 226-3937
(712) 224-3973
Mailing address
5855 SUNNYBROOK DR, SIOUX CITY, IA 51106-4203
(712) 226-3937
(712) 224-3973
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
18333
NE
207W00000X
Ophthalmology Physician
Primary
29715
IA
207W00000X
Ophthalmology Physician
4798
SD
207WX0107X
Retina Specialist (Ophthalmology) Physician
29715
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025482400
—
NE
05
—
2106534
—
IA
05
—
6301510
—
SD
Enumeration date
01/26/2006
Last updated
06/27/2025
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