SearchMichigan172A00000X

Mario Hickman

NPI 1144673922 · on the registry since 2016

Practice

Address
7465 Poe St
Detroit, MI 48206
Phone
(313) 355-7801

Registry record

Primary taxonomy
172A00000X
172A00000X
Sex
Male
Record last updated
2016-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan