Female

Susan K. Hicks D.O.

Obstetrics & Gynecology Physician in Wyoming, MI(View on Map)

Full Name

Susan K Hicks D.O.

NPI Number

1043201551

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/03/2005

Specialties

(Taxonomies)

Code

207V00000X
174400000X

Primary Taxonomy

Yes
No

Licenses

State

Michigan
Michigan

License Number

5101012674
SH012674

Contact
Information

Purpose

Mailing
Location

Address

5900 BYRON CENTER AVE SW
2221 HEALTH DR SW STE 2100

City

Wyoming
Wyoming

State

MI
MI

Postal Code

49519-2560
49519

Country

US
US

Telephone Number

(616) 252-3243
(616) 252-4410

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/15/2019

Provider Address

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