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1770532715
SUSAN L HICKENBOTTOM
YPSILANTI, MI
NPI
1770532715
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MI 4301061696)
Enumeration Date
2006-05-08
Last Update Date
2019-09-25
Business Address
SUSAN L HICKENBOTTOM M.D.
5333 MCAULEY DR SUITE 6109
YPSILANTI, MI 48197-1014
Phone number: 734-712-1400
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Mailing Address
SUSAN L HICKENBOTTOM M.D.
24 FRANK LLOYD WRIGHT DR PO BOX 0446 LOBBY J
ANN ARBOR, MI 48105-9484
Phone number: 734-747-6766
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