Individual
STEPHEN JAMES HICKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ALLENDALE HEALTH CENTER, 4830 BECKER DRIVE, ALLENDALE, MI 49401
(616) 252-3900
Mailing address
ALLENDALE HEALTH CENTER, 4830 BECKER DRIVE, ALLENDALE, MI 49401
(616) 252-3900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301504053
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2018
Last updated
10/24/2022
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