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Individual

MR. MICHAEL K PICKERING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSFA,CST

Contact information

Practice address
1020 DENNISON AVE STE 200, COLUMBUS, OH 43201-3631
(614) 618-9018
Mailing address
1636 S 4TH ST, COLUMBUS, OH 43207-1855
(614) 439-3428

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1285804252
OH
Enumeration date
01/16/2023
Last updated
01/16/2023
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