Individual
MR. BRYAN DAVID HICKEY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2408 STARR RD, ROYAL OAK, MI 48073-2208
(248) 525-8840
Mailing address
2408 STARR RD, ROYAL OAK, MI 48073-2208
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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