Individual
FRED W HICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1005 LIGONIER ST, LATROBE, PA 15650-1832
(724) 532-1020
(724) 532-1025
Mailing address
1005 LIGONIER ST, LATROBE, PA 15650-1832
(724) 532-1020
(724) 532-1025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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