Organization
KNOXVILLE CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY MICHAEL FORMANEK DC (PRESIDENT)
(641) 842-3007
Entity
Organization
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
A05434
IA
Other
Enumeration date
11/28/2007
Last updated
02/20/2008
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