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Individual
ALLAN PICKENS
Active
Individual
ALLAN PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301080250
MI
208600000X
Surgery Physician
67059
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301080250
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
61933
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
67059
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4673680
—
MI
Enumeration date
07/31/2006
Last updated
12/06/2024
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