Individual provider · Type 1 NPI

Michael L. Hicks, MD

Gynecologic Oncology Physician · Pontiac, MI

NPI number 1194772020 Active

Practice location

44405 Woodward Ave, 202
Pontiac, MI 48341-5023

Fax (248) 335-6171

Mailing address

6019 Carmen Ct W
Orchard Lake, MI 48324-2919

Specialties and licenses

TaxonomyCodeLicense
Gynecologic Oncology Physician Primary 207VX0201X4301406967 (MI)

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

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About NPI 1194772020

Michael L. Hicks, MD's National Provider Identifier is 1194772020, issued on May 27, 2006. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Pontiac, MI. The record was last updated on Jul 8, 2007.