Stuart Hickerson

NPI #1073629374 in Havana, Illinois

Provider Information

NPI Number: 1073629374
Entity Type: Individual
Name: Stuart Hickerson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Enumeration Date: Aug 21, 2006
Last Updated: Dec 13, 2024

Practice Location

Address: 12528 SR 78
City: Havana
State: Illinois
ZIP Code: 62644-6866
Phone: (309) 543-4253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X

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