Individual
KRISTINA M PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(810) 606-5000
Mailing address
1321 WINDING RIDGE DR APT 3B, GRAND BLANC, MI 48439-7556
(614) 512-4187
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23121072044
MI
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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