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1659647030
STEPHANIE NICHOLE HICKS
SOUTH BEND, IN
NPI
1659647030
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Former Name
STEPHANIE NICHOLE MARTIN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IN 01074045A)
Enumeration Date
2012-03-29
Last Update Date
2023-04-28
Business Address
STEPHANIE NICHOLE HICKS MD
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601-1033
Phone number: 574-647-3281
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Mailing Address
STEPHANIE NICHOLE HICKS MD
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number:
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