Individual
DR. THOMAS JOHN HICKEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 MAIN ST NW, ELK RIVER, MN 55330-1880
(763) 441-4200
(763) 441-4201
Mailing address
9250 164TH LN NW, RAMSEY, MN 55303-3178
(763) 441-1045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MN8940
MN
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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