Michael James Hicks, MD
Radiology, Diagnostic Radiology in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1982125704
StatusActive
Last updated in NPPESJul 14, 2022
Details
- NPI
- 1982125704
- Entity type
- Individual (NPI-1)
- Name
- Michael James Hicks
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2017
- Certification date
- Jul 14, 2022
- Last updated
- Jul 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 4301500733 | MI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 4301112119 | MI |
Practice location
1500 E Medical Center DrAnn Arbor, MI 48109-5000
Phone 734-936-4000
Mailing address
3621 S State StAnn Arbor, MI 48108-1633
Phone 734-647-5299
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