Individual
DR. RICARDO HICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
19800 W 8 MILE RD, SOUTHFIELD, MI 48075-5730
(248) 352-6900
(248) 354-0345
Mailing address
19800 W 8 MILE RD, SOUTHFIELD, MI 48075-5730
(248) 352-6900
(248) 354-0345
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003681
MI
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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