Individual
ALICIA HICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5810 BAKER RD STE 100, MINNETONKA, MN 55345-5941
(952) 546-5322
Mailing address
1250 WAYZATA BLVD E, WAYZATA, MN 55391-1951
(763) 299-7111
(612) 416-0053
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13804
MN
Other
Enumeration date
03/24/2020
Last updated
05/09/2025
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