Provider Demographics
NPI:1235134974
Name:WALINSKY, MICHAEL DAVID (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:WALINSKY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:726 YALE RD
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-2116
Mailing Address - Country:US
Mailing Address - Phone:610-667-4368
Mailing Address - Fax:610-645-5486
Practice Address - Street 1:4715 PINE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-1831
Practice Address - Country:US
Practice Address - Phone:215-471-0433
Practice Address - Fax:215-471-0430
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-18
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC003167L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT30231Medicare UPIN
PAWA410346Medicare ID - Type Unspecified