Provider Demographics
NPI:1093015117
Name:VINSKI, MICHAEL MATTHEW (CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:MATTHEW
Last Name:VINSKI
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 EVERGREEN AVE
Mailing Address - Street 2:
Mailing Address - City:PGH
Mailing Address - State:PA
Mailing Address - Zip Code:15209-1907
Mailing Address - Country:US
Mailing Address - Phone:412-821-5465
Mailing Address - Fax:
Practice Address - Street 1:1227 EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:PGH
Practice Address - State:PA
Practice Address - Zip Code:15209-1907
Practice Address - Country:US
Practice Address - Phone:412-821-5465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002262L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor