Provider Demographics
NPI:1760662787
Name:FINK, MATTHEW GERARD (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:GERARD
Last Name:FINK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5359 HIGHWAY N
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-7792
Mailing Address - Country:US
Mailing Address - Phone:636-922-0777
Mailing Address - Fax:636-922-0833
Practice Address - Street 1:5359 HIGHWAY N
Practice Address - Street 2:SUITE 103
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-7792
Practice Address - Country:US
Practice Address - Phone:636-922-0777
Practice Address - Fax:636-922-0833
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-07
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004008721111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor