Individual
MICHAEL ZANE RICKMAN
Active
Individual
MICHAEL ZANE RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10767
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100490A
—
OK
01
—
730776935003
BLUE CROSS
—
01
—
P00061497
RAILROAD MEDICARE PTAN
—
Enumeration date
06/24/2005
Last updated
03/07/2023
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