Individual
DR. PEGGY ANN HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17705 HUTCHINS DR, MINNETONKA, MN 55345-4145
(952) 401-8300
Mailing address
2805 CAMPUS DR, PLYMOUTH, MN 55441-2676
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32154
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100451
UCARE
MN
01
—
1215226
MEDICA
MN
01
—
14977HI
BLUE CROSS
MN
01
—
CP9040844011
PREFERREDONE
MN
Enumeration date
02/02/2006
Last updated
07/09/2007
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