Individual
AARON JAMES TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
44199 DEQUINDRE RD STE 315, TROY, MI 48085-1128
(248) 964-3600
Mailing address
13073 CLINTON RD, CLINTON, MI 49236-9629
(517) 442-5765
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
5601009435APP19
MI
363A00000X
Physician Assistant
Primary
5601009435APP19
MI
Other
Enumeration date
06/02/2019
Last updated
06/02/2019
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