Individual
JAMES R HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36157
MN
2083P0901X
Public Health & General Preventive Medicine Physician
36157
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110002365
RAILROAD MEDICARE
MN
05
—
32646400
—
WI
05
—
888527300
—
MN
05
—
ENROLLED
—
IA
Enumeration date
02/15/2006
Last updated
02/10/2012
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