Individual
CHAD RONALD HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7857 VELTE RD, LAKE ODESSA, MI 48849-9497
(616) 374-7880
Mailing address
7857 VELTE RD, LAKE ODESSA, MI 48849-9497
(616) 374-7880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
23001007497
MI
Other
Enumeration date
04/10/2006
Last updated
10/07/2011
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