Doctor Name: | DR. ANDREW GLEN PICK |
NPI Number: | 1306144464 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | |
Business Practice Address: | 401 W Greenlawn Ave Lansing, MI - 489102819 |
Business Phone Number: | 5179756000 |
Business Fax Number: | |
Mailing Address: | 6155 Meadow Crest Dr, Apt 205 JOHNSTON |
State: | IA |
Postal Code: | 501312170 |
Phone Number: | 3195412746 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2011 |
NPI Last Update Date: | 03/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |