Individual
DR. LARRY M FORMANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
115 E MAIN ST, KNOXVILLE, IA 50138-2525
(641) 842-3007
(641) 842-5612
Mailing address
115 E MAIN ST, KNOXVILLE, IA 50138-2525
(641) 842-3007
(641) 842-5612
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AO5434
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285262
—
IA
01
—
6599
MIDLANDS CHOICE
IA
Enumeration date
10/21/2005
Last updated
05/29/2012
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