Individual
JAMES PATRICK PICOTTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-6084
(920) 433-5811
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301079674
MI
2085R0202X
Diagnostic Radiology Physician
Primary
63644
WI
2085R0204X
Vascular & Interventional Radiology Physician
4301079674
MI
2085R0204X
Vascular & Interventional Radiology Physician
63644-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083786511
—
WI
01
—
300B876050
BCBS OF MICHIGAN
MI
Enumeration date
11/13/2006
Last updated
11/13/2025
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