Organization
MICHAEL L. HICKS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. HICKS MD (PHYSICIAN/OWNER)
(248) 858-2270
Entity
Organization
Contact information
Practice address
44405 WOODWARD AVE, SUITE 202, PONTIAC, MI 48341-5023
(248) 858-2270
(248) 335-6171
Mailing address
PO BOX 758, POST FALLS, ID 83877-0758
(208) 773-6400
(208) 773-6800
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
4301406967
MI
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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