Individual
DANIEL BENJAMIN PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303
(320) 252-3342
(320) 255-3501
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2736
(320) 252-3342
(320) 255-3501
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
63524
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2013
Last updated
05/13/2018
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