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Jason Hicks, PCC

NPI 1215931720 · on the registry since 2005

Practice

Address
419 S Coral St
Kalkaska, MI 49646
Phone
(231) 258-7500
Fax
(231) 258-7527
Organisation at this address
Kalkaska Family Practice Pc
Kalkaska Memorial Health Center
Kalkaska Memorial Health Center
Kalkaska Memorial Health Center
Kalkaska Memorial Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-16

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