Individual
CRAIG HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3500 S 27TH ST, MILWAUKEE, WI 53221-1302
(414) 817-9100
(414) 817-9128
Mailing address
11103 WEST AVE, STE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6803
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2807-035
WI
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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