Search › Wisconsin › 111N00000X
Brian Formolo, D.C
NPI 1760427207 · on the registry since 2006
Practice
- Address
- 1900 W Ryan Rd
Oak Creek, WI 53154 - Phone
- (414) 761-5777
- Fax
- (414) 761-7915
- Organisation at this address
- Oak Creek Relief And Wellness Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- FL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin