Individual
JOHN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-1020
Mailing address
100 RIVERFRONT DR APT 1303, DETROIT, MI 48226-4538
(561) 379-5252
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME113270
FL
Other
Enumeration date
07/16/2009
Last updated
01/03/2025
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