Individual
MR. BRIAN KEITH PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
615 S MILL ST, FERGUS FALLS, MN 56537-2756
(218) 739-6889
(218) 739-5501
Mailing address
2511 18TH ST S, MOORHEAD, MN 56560-4810
(218) 770-4900
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1624
MN
Other
Enumeration date
09/16/2006
Last updated
04/30/2015
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