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Individual

PETER WILLIAM PICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 WEISS STREET, MEDICAL SERVICE-NEUROLOGY 111, VAMC, SAGINAW, MI 48602
(414) 510-8454
Mailing address
1500 WEISS STREET, MEDICAL SERVICE-NEUROLOGY 111, VAMC, SAGINAW, MI 48602
(414) 510-8454

Taxonomy

Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
40043
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
40043
WI
2084N0400X
Neurology Physician
Primary
40043
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34316700
WI
01
601617600
DOLOWCP
Enumeration date
07/09/2005
Last updated
07/22/2008
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