Individual
JOHN HICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
153 CESAR CHAVEZ ST, W. ST. PAUL, MN 55107-2226
(651) 222-1816
(651) 222-1305
Mailing address
153 CESAR CHAVEZ ST, W. ST. PAUL, MN 55107-2226
(651) 222-1816
(651) 222-1305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18813
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111858
UCARE
MN
01
—
1200583
MEDICA
MN
05
—
122288100
—
MN
01
—
32T71HI
BCBS
MN
01
—
HP16392
HEALTH PARTNERS
MN
Enumeration date
03/24/2006
Last updated
04/22/2013
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