THOMAS GLENN HICKS MD NPI 1700986965

NPI Information

Thomas Glenn Hicks, MD is a general practice in Kalamazoo, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Thomas Glenn Hicks, MD NPI is 1700986965. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 JOHN ST
BOX 42
KALAMAZOO, MI
ZIP 49007-341
Phone: (269) 341-6417
Fax: (269) 341-8743

The enumeration date for this NPI number is 9/25/2006 and was last updated on 3/27/2014.

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:

Other Identifiers

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

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