Individual
EDGAR O HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703
(835) 715-9099
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21719-020
WI
207XP3100X
Pediatric Orthopaedic Surgery Physician
21719-020
WI
207XS0106X
Orthopaedic Hand Surgery Physician
21719-020
WI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
21719-020
WI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
21719-020
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
21719-020
WI
207XX0801X
Orthopaedic Trauma Physician
21719-020
WI
Other
Enumeration date
07/06/2006
Last updated
02/10/2021
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