Individual
DR. MICHAEL ANGELO TOLISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5102 N NEVADA AVE, SUITE 140, COLORADO SPRINGS, CO 80918-8679
(719) 599-8783
Mailing address
6 MENARY WAY, COLORADO SPRINGS, CO 80906
(719) 344-5654
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
000694
CT
111N00000X
Chiropractor
1321
MA
111N00000X
Chiropractor
Primary
6694
CO
111N00000X
Chiropractor
CH7222
FL
111N00000X
Chiropractor
DC29637
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061265736
TAX ID
FL
01
—
32582
BCBS PROVIDER NUMBER
FL
Enumeration date
12/11/2006
Last updated
09/26/2012
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