Individual provider · Type 1 NPI

Brian E. Formolo, DC

Chiropractor · Oak Creek, WI

NPI number 1760427207 Active

Practice location

1900 W Ryan Rd
Oak Creek, WI 53154-8233

Call (414) 761-5777 Map

Fax (414) 761-7915

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XCH12750 (FL)
Chiropractor Primary 111N00000X3364 (WI)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1760427207

Brian E. Formolo, DC's National Provider Identifier is 1760427207, issued on Jun 18, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Oak Creek, WI. The record was last updated on Jul 18, 2024.