Individual provider · Type 1 NPI

Mario Hickman

Driver · Detroit, MI

NPI number 1144673922 Active

Practice location

7465 Poe St
Detroit, MI 48206-2632

Call (313) 355-7801 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1144673922

Mario Hickman's National Provider Identifier is 1144673922, issued on Jul 18, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Detroit, MI. The record was last updated on Jul 18, 2016.