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Individual

TIM FICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AAS-HIS, BC-HIS

Contact information

Practice address
5157 LEMAY FERRY RD, SAINT LOUIS, MO 63129-1533
(314) 487-5550
(314) 487-5554
Mailing address
5157 LEMAY FERRY RD, SAINT LOUIS, MO 63129-1533
(314) 487-5550
(314) 487-5554

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2015015579
MO
174400000X
Specialist
3239
IL

Other

Enumeration date
09/29/2016
Last updated
09/29/2016
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