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Individual
JOHN HICK
Active
Individual
JOHN HICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18813
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111858
UCARE
MN
01
—
1200583
MEDICA
MN
05
—
122288100
—
MN
01
—
32T71HI
BCBS
MN
01
—
HP16392
HEALTH PARTNERS
MN
Enumeration date
03/24/2006
Last updated
04/22/2013
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