Provider Demographics
NPI:1598079030
Name:WASHINSKY, MICHAEL ANTHONY JR (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:WASHINSKY
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1800 E 3RD AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-5046
Mailing Address - Country:US
Mailing Address - Phone:970-799-6911
Mailing Address - Fax:
Practice Address - Street 1:1800 EAST 3RD AVENUE
Practice Address - Street 2:SUITE 102
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301
Practice Address - Country:US
Practice Address - Phone:970-799-6911
Practice Address - Fax:970-360-5545
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00568892084P0800X
NMAG3361893-B4152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry