Individual
DONALD K HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 GLENDALE AVE., TOLEDO, OH 43614
(419) 383-5555
(419) 383-3113
Mailing address
3355 GLENDALE AVE., 3RD FLOOR, TOLEDO, OH 43614-2426
(419) 383-5555
(419) 383-3113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35045099
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030538
ANTHEM MEDICAID WWK
OH
01
—
000000200605
ANTHEM MEDICAID CHS
OH
01
—
000000296936
ANTHEM-CHS
OH
01
—
002985
NATIONWIDE
OH
01
—
01-04066
UNITED
OH
05
—
0540392
—
OH
01
—
141974
CARE CHOICES
OH
01
—
344428256079
CARESOURCES
OH
01
—
4203593
AETNA
OH
01
—
7244
HPM
MI
01
—
9564035002
CIGNA
OH
01
—
H587370
UTP MEDICARE PIN
OH
Enumeration date
06/27/2005
Last updated
01/11/2018
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