| Doctor Name: | THOMAS GLENN HICKS |
| NPI Number: | 1700986965 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301035006 |
| Business Practice Address: | 601 John St Box 42 Kalamazoo, MI - 490075341 |
| Business Phone Number: | 2693416417 |
| Business Fax Number: | 2693418743 |
| Mailing Address: | 680 Columbia Ave W, BATTLE CREEK |
| State: | MI |
| Postal Code: | 490153028 |
| Phone Number: | 2699654500 |
| Fax Number: | 2699651150 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 03/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301035006 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |