Individual
STEPHEN ANDREW HICKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR STE L2200, ANN ARBOR, MI 48105-9484
(734) 930-4020
(734) 769-8948
Mailing address
24 FRANK LLOYD WRIGHT DR STE L2200, ANN ARBOR, MI 48105-9484
(734) 930-4020
(734) 769-8948
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301057359
MI
207V00000X
Obstetrics & Gynecology Physician
49335
CO
207V00000X
Obstetrics & Gynecology Physician
Primary
8674A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901070
—
MI
05
—
3105697
—
MI
05
—
4108737
—
MI
05
—
4877311
—
MI
05
—
4878954
—
MI
Enumeration date
05/23/2006
Last updated
11/27/2023
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