Individual
DR. MICHAEL L HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44405 WOODWARD AVE, 202, PONTIAC, MI 48341-5023
(248) 858-2270
(248) 335-6171
Mailing address
6019 CARMEN CT W, ORCHARD LAKE, MI 48324-2919
(248) 760-2239
(877) 247-7051
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
4301406967
MI
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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