Individual
DR. MICHAEL JOSEPH PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BROAD AND VINE, PHILADELPHIA, PA 19102
(215) 762-2365
Mailing address
245 N 15TH ST, SECOND FLOOR 2108, PHILADELPHIA, PA 19102-1101
(215) 762-2365
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT195799
PA
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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