SearchWisconsin101Y00000X

Michael Hicks

NPI 1306762661 · on the registry since 2026 · sole proprietor

Practice

Address
109 Rose Ln # Wi53004
Belgium, WI 53004
Phone
(414) 841-1114
Fax
(414) 841-1114

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-29

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 Wisconsin