MR. Austin D Hickok, PA-C

NPI #1265021042 in Portage, Michigan

Provider Information

NPI Number: 1265021042
Entity Type: Individual
Name: MR. Austin D Hickok, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 15, 2021
Last Updated: Jul 13, 2021

Practice Location

Address: 7901 ANGLING RD
City: Portage
State: Michigan
ZIP Code: 49024-0714
Phone: (269) 324-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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