Provider Demographics
NPI:1093018814
Name:PIZINSKI, MICHAEL (MED, BS IN HEALTH)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:
Last Name:PIZINSKI
Suffix:
Gender:M
Credentials:MED, BS IN HEALTH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5916 SW MORGAN DR
Mailing Address - Street 2:
Mailing Address - City:GUTHRIE
Mailing Address - State:OK
Mailing Address - Zip Code:73044-6731
Mailing Address - Country:US
Mailing Address - Phone:228-369-9149
Mailing Address - Fax:
Practice Address - Street 1:5916 SW MORGAN DR
Practice Address - Street 2:
Practice Address - City:GUTHRIE
Practice Address - State:OK
Practice Address - Zip Code:73044-6731
Practice Address - Country:US
Practice Address - Phone:228-369-9149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-16
Last Update Date:2013-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor