# ALEX PICKENS & ASSOC M D P C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALEX PICKENS & ASSOC M D P C
- **Other names:** Pickens Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952529091
- **Legal business name:** ALEX PICKENS & ASSOC M D P C
- **Authorized official:** DR. ALEX PICKENS JR. M,D, (MEDICAL DIRECTOR)
- **Authorized official phone:** (313) 272-2400

## Contact information

- **Practice address:** 15639 W MCNICHOLS RD, DETROIT, MI 48235-3541
- **Practice address phone:** (313) 272-2400
- **Practice address fax:** (313) 535-9060
- **Mailing address:** PO BOX 23518, DETROIT, MI 48223-0518
- **Mailing address phone:** (313) 272-2400
- **Mailing address fax:** (313) 535-9060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VH0002X | Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician | 4301038348 | MI | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 09/16/2011