Individual
DR. TIMOTHY MICHAEL HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2735 NAVARRE AVE, SUITE 102, OREGON, OH 43616-3275
(419) 690-8273
(419) 690-8308
Mailing address
2019 WILDWOOD BLVD, TOLEDO, OH 43614-4231
(419) 385-5793
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35-084480
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2604408
—
OH
Enumeration date
05/31/2005
Last updated
04/30/2013
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