Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Domrzalski

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922956861

Brian Domrzalski is a Student in an Organized Health Care Education/Training Program in Weyauwega, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2026

Practice location Address checks out

E6041 Evanswood Rd
Weyauwega, WI 54983-9548
Phone: (715) 445-1172
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (WI)

Record details

NPI number1922956861
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 17, 2026
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026
Mailing addressE6041 Evanswood Rd, Weyauwega, WI 54983-9548