Individual
DR. MICHELLE HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2800 COLLEGE AVE, ALTON, IL 62002-4742
(630) 697-5890
Mailing address
4041 CHOUTEAU AVE APT 309, SAINT LOUIS, MO 63110-1729
(630) 697-5890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.032715
IL
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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