person
Mr. Jason T Hicks, PCC
Medical Physician Assistant in Kalkaska, Michigan
NPI 1215931720

Jason T Hicks is a Medical Physician Assistant based in Kalkaska, MI and is specialized in Medical. Jason T Hicks practices in Kalkaska, MI and has the professional credentials of PCC. The NPI Number for Jason T Hicks is 1215931720 and holds a License No. 5601003956 (Michigan).

The current practice location address for Jason T Hicks is 419 S Coral St, Kalkaska, MI and can be reached out via phone at 231-258-7500 and via fax at 231-258-7527.

Location: 419 S Coral St, Kalkaska, MI, 49646-2503
person
Provider Profile Details
NPI Number
1215931720
Provider Name
Jason T Hicks
Credential
PCC
Provider Entity Type
Individual
Gender
Male
Address
419 S Coral St, Kalkaska, MI, 49646-2503
Phone Number
231-258-7500
Fax Number
231-258-7527
Provider Enumeration Date
06/13/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5601003956 01 MI LICENSE
institution
Provider Business Practice Location Address Details
Address
419 S Coral St
City
State
Zip
49646-2503
Phone Number
231-258-7500
Fax Number
231-258-7527
person
Provider Business Mailing Address Details
Address
419 S Coral St
City
State
Zip
49646-2503
Phone Number
231-258-7500
Fax Number
231-258-7527
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601003956 (Michigan)
Definition
Definition to come...
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