Individual
FRED WAYNE PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13TH STREET, RED LODGE, MT 59068-0685
(406) 425-1843
Mailing address
PO BOX 685, RED LODGE, MT 59068-0685
(406) 425-1843
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
891
MT
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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