Individual
MICHELLE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4936 W CLARK RD, SUITE 101, YPSILANTI, MI 48197-0861
(734) 434-3000
(734) 434-8040
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
470416304
MI
Other
Enumeration date
01/15/2007
Last updated
12/30/2016
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