Organization
MICHAEL L. HICKS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEON HICKS MD (PHYSICIAN OWNER)
(248) 760-2239
Entity
Organization
Contact information
Practice address
44405 WOODWARD AVE, GUSTAFSON ASC, SUITE 202, PONTIAC, MI 48341-5023
(248) 858-2270
(248) 335-6171
Mailing address
PO BOX 287, STOW, MA 01775-0287
(978) 897-4782
(978) 897-2811
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
4301406967
MI
Other
Enumeration date
08/16/2006
Last updated
03/20/2015
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