Individual
DR. ELIZABETH SHOKOUI HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
827 E DIVISION ST, CADILLAC, MI 49601-2015
(231) 775-9741
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101021221
MI
207Q00000X
Family Medicine Physician
LL1597
SC
Other
Enumeration date
07/23/2012
Last updated
10/21/2020
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