| NPI | 1487748539 |
|---|---|
| Doing Business As | HICKS ORTHOPEDIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | EDGAR O HICKS President/Owner 715-834-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WI 21719-020) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-06-17 |