Individual
BRIAN DOMRZALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
E6041 EVANSWOOD RD, WEYAUWEGA, WI 54983-9548
(715) 445-1172
Mailing address
E6041 EVANSWOOD RD, WEYAUWEGA, WI 54983-9548
(715) 445-1172
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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