Individual
ELIZABETH HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43740 N GROESBECK HWY, CLINTON TWP, MI 48036-1139
(586) 469-7629
Mailing address
23817 BUNKERHILL DR, CLINTON TWP, MI 48035-3119
(586) 741-9351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704271158
MI
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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