NPI 1144673922
Mario Hickman
Practice location
- Address
- 7465 Poe St, Detroit, MI 48206-2632
- Phone
- (313) 355-7801
Registered specialties
Driver
Primary
Registry record
- NPI
- 1144673922
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Jul 2016
- Record last updated
- 18 Jul 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.