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Individual
MICHAEL PAUL HICKMAN
Active
Individual
MICHAEL PAUL HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C7098
AR
2085R0202X
Diagnostic Radiology Physician
C7098
AR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
C7098
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122372001
—
AR
01
—
C7098
STATE LICENSE
AR
Enumeration date
10/26/2005
Last updated
03/07/2023
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