Individual
ZACHARY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12260 CAMDEN ST, DETROIT, MI 48213-1756
(313) 220-6907
Mailing address
6601 CRABAPPLE, TROY, MI 48098-1978
(313) 220-6907
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
MI
Other
Enumeration date
06/13/2025
Last updated
06/13/2025
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