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Dr. Brian E Formolo, DC
Chiropractor in Oak Creek, Wisconsin
NPI 1760427207

Brian E Formolo is a Chiropractor based in Oak Creek, WI. Brian E Formolo practices in Oak Creek, WI and has the professional credentials of DC. The NPI Number for Brian E Formolo is 1760427207 and holds a License No. CH12750 (Wisconsin).

The current practice location address for Brian E Formolo is 1900 W Ryan Rd, Oak Creek, WI and can be reached out via phone at 414-761-5777 and via fax at 414-761-7915.

Location: 1900 W Ryan Rd, Oak Creek, WI, 53154-8233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760427207
Provider Name
Brian E Formolo
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1900 W Ryan Rd, Oak Creek, WI, 53154-8233
Phone Number
414-761-5777
Fax Number
414-761-7915
Provider Enumeration Date
06/18/2006
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
1900 W Ryan Rd
City
Oak Creek
State
Wisconsin
Zip
53154-8233
Phone Number
414-761-5777
Fax Number
414-761-7915
person
Provider Business Mailing Address Details
Address
1900 W Ryan Rd
City
Oak Creek
State
Wisconsin
Zip
53154-8233
Phone Number
414-761-5777
Fax Number
414-761-7915
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH12750 (Florida)
Definition
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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