Individual
JAMES T HISCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
ONE HURLEY PLAZA, FLINT, MI 48503-5993
(810) 262-9953
(810) 760-0440
Mailing address
PO BOX 78000, DEPT. 78415, DETROIT, MI 48278-0415
(810) 262-9953
(810) 760-0440
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4704208184
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704208184
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104397550
—
MI
Enumeration date
04/24/2006
Last updated
11/18/2010
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