Individual
RANDY DAVID HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3346 LENNON ROAD, FLINT, MI 48507-1015
(810) 732-1919
(810) 732-3740
Mailing address
3346 LENNON ROAD, SUITE 2, FLINT, MI 48507-1015
(810) 244-7109
(810) 732-3740
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301048682
MI
2085R0202X
Diagnostic Radiology Physician
Primary
35091256
OH
2085R0202X
Diagnostic Radiology Physician
4301048682
MI
Other
Enumeration date
04/25/2006
Last updated
01/09/2018
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