person
Thomas Glenn Hicks, MD
General Practice Physician in Kalamazoo, Michigan
NPI 1700986965

Thomas Glenn Hicks is a General Practice Physician based in Battle Creek, MI. Thomas Glenn Hicks practices in Kalamazoo, MI and has the professional credentials of MD. The NPI Number for Thomas Glenn Hicks is 1700986965 and holds a License No. 4301035006 (Michigan).

The current practice location address for Thomas Glenn Hicks is 601 John St, Kalamazoo, MI and can be reached out via phone at 269-341-6417 and via fax at 269-341-8743. You can also correspond with Thomas Glenn Hicks through the mailing address at 680 COLUMBIA AVE W, BATTLE CREEK, MI - 49015-3028 (mailing address contact number: 269-965-4500).

Location: 601 John St, Kalamazoo, MI, 49015-3028
person
Provider Profile Details
NPI Number
1700986965
Provider Name
Thomas Glenn Hicks
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
601 John St, Kalamazoo, MI, 49015-3028
Phone Number
269-341-6417
Fax Number
269-341-8743
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0C910950 01 MI BCBSM
1700986965 05 MI
TH035006 01 MI BCBCN
institution
Provider Business Practice Location Address Details
Address
601 John St
City
State
Zip
49007-5341
Phone Number
269-341-6417
Fax Number
269-341-8743
person
Provider Business Mailing Address Details
Address
680 Columbia Ave W
City
State
Zip
49015-3028
Phone Number
269-965-4500
Fax Number
269-965-1150
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4301035006 (Michigan)
Definition
Definition to come...
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