Larry M Formanek (NPI# 1558350546, PAC ID# 7618960014) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1558350546 |
| PAC ID by PECOS | 7618960014 |
| Professional Enrollment ID | I20080221000585 |
| Full Name | Larry M Formanek |
| Address |
115 E Main St Knoxville IA 51038-2525 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 1988 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 115 E Main St, Knoxville, IA 51038-2525 |
| Street Address |
115 E MAIN ST |
| City | KNOXVILLE |
| State | IA |
| Zip | 51038-2525 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry G Wright | Chiropractic | 115 E Main St, Denver, IA 50622-9612 | |
| Sarah Jane Wick | Physician Assistant | Dudzinski Enterprises, Inc. | 115 E Main St, North East, PA 16428-1330 |
| Brian K Swartzendruber | Physical Therapy | Team Rehabilitation In06 LLC | 115 E Main St, Delphi, IN 46923-1522 |
| Philip Charles Devore | Family Medicine | Dudzinski Enterprises, Inc. | 115 E Main St, North East, PA 16428-1330 |
| Michelle C Siegman | Qualified Audiologist | 115 E Main St, Suite 3, Hagerstown, IN 47346-1302 | |
| Laci L Morgan | Psychologist, Clinical | 115 E Main St, Henderson, TX 75652-3167 | |
| Elizabeth J Moore | Nurse Practitioner | 115 E Main St, Hagerstown, IN 47346-1396 | |
| Persila V Mertz | Ophthalmology | 115 E Main St, Ephrata, PA 17522-2710 |
| City | KNOXVILLE |
| Zip Code | 51038 |
| Specialty | CHIROPRACTIC |
| City + Specialty | KNOXVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Larry M Formanek.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.