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NPI Code Detail

MEDICARE: STEVEN WOODWARD PICARD MD

MEDICARE: STEVEN WOODWARD PICARD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianSPO55283MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356400923
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN WOODWARD PICARD MD
Provider Business Mailing Address
First Line : 439 S ROSS ST
Second Line :
City : BEAVERTON
State : MI
Zip : 48612-9101
Country : US
Telephone Number : 989-246-3500
Fax Number : 989-246-3519
Provider Business Practice Location Address
First Line : 439 S ROSS ST
Second Line :
City : BEAVERTON
State : MI
Zip : 48612-9101
Country : US
Telephone Number : 989-246-3500
Fax Number : 989-246-3519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 11/12/2012

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Directions to “ STEVEN WOODWARD PICARD MD” Practice Location

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