MICHAEL L. HICKS MD PC NPI 1427161306

NPI Information

NPI: 1427161306
Provider Name: MICHAEL L. HICKS, MD, PC
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
44405 WOODWARD AVE
GUSTAFSON ASC, SUITE 202
PONTIAC, MI
ZIP 48341
Phone: (248) 858-2270
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MICHAEL L. HICKS, MD, PC is a gynecologic oncology obstetrics gynecology in Pontiac, MI. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. MICHAEL L. HICKS, MD, PC NPI is 1427161306. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

44405 WOODWARD AVE
GUSTAFSON ASC, SUITE 202
PONTIAC, MI
ZIP 48341-023
Phone: (248) 858-2270
Fax: (248) 335-6171

The provider's authorized official is Michael Leon Hicks .
The authorized official title is Physician Owner and has the following contact phone number (248) 760-2239.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 3/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	4301406967	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0P13110	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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