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Organization
MICHIGAN MSK MEDICINE PLLC
Active
Organization
MICHIGAN MSK MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R HICKLING DO (OWNER)
(586) 684-1900
Entity
Organization
Contact information
Practice address
36385 HARPER AVE, CLINTON TOWNSHIP, MI 48035-2958
(586) 684-1900
(586) 684-1999
Mailing address
36385 HARPER AVE, CLINTON TOWNSHIP, MI 48035-2958
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
NULL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
03/12/2021
Last updated
07/25/2023
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