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Organization
EDGAR HICKS, MD, LLC
Active
Organization
EDGAR HICKS, MD, LLC
Active
Other names
Hicks Orthopedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR O HICKS M.D. (PRESIDENT/OWNER)
(715) 834-2701
Entity
Organization
Contact information
Practice address
836 RICHARD DR, EAU CLAIRE, WI 54701-6242
(715) 834-2701
(715) 834-2972
Mailing address
836 RICHARD DR, EAU CLAIRE, WI 54701-6242
(715) 834-2701
(715) 834-2972
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21719-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30187000
—
WI
Enumeration date
10/03/2006
Last updated
06/17/2008
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