MICHAEL L. HICKS, MD, PC
Medical Practice at Woodward Ave, Pontiac, MI

License number
Michigan 4301406967
Category
Medical Practice
Type
Gynecologic Oncology
Owner
Name: MICHAEL L. HICKS MD
Title: PHYSICIAN/OWNER
Phone: (248) 858-2270
Address
Address 2
44405 Woodward Ave SUITE 202, Pontiac, MI 48341
PO Box 758, Post Falls, ID 83877
National Provider ID: 1134137813
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL L. HICKS, M.D., PC

Pontiac, MI  -  West Bloomfield, MI

Registration:
May 9, 2000
Addresses:
44405 Woodward Ave Asc STE 202, Pontiac, MI 48341 (Physical)
6019 Carmen Ct W, West Bloomfield, MI 48324 (Mailing)
State ID:
39898A
Business type:
Domestic Professional Service Corporation
Agent:
Michael L Hicks

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