Individual
MICHAEL WILLIAM HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4730 E INDIAN SCHOOL RD, #211, PHOENIX, AZ 85018-5441
(602) 354-3491
(602) 595-8567
Mailing address
4730 E INDIAN SCHOOL RD, #211, PHOENIX, AZ 85018-5441
(602) 354-3491
(602) 595-8567
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
005290
AZ
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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