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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. AUSTIN D HICKOK, PA-C

Active Sole Proprietor

MR. AUSTIN D HICKOK, PA-C is a Physician Assistant healthcare provider located in PORTAGE, Michigan. NPI 1265021042 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PORTAGE, MI

Registration Details

NPI Number
1265021042
Provider Type
Individual
Gender
Male
NPI Issued
Jan 15, 2021 (5.5643485112967 yrs)
Last Updated
Jul 13, 2021
Sole Proprietor
Yes

Practice Information

Address
7901 ANGLING RD
PORTAGE, MI, 490240714
Browse MI providers · Browse ZIP 49024
Phone
2693248600
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PORTAGE, MI

Name Credential NPI
MS. LUCETTA LYNNE LYFORD PA-C 1396749800
MR. THOMAS JONES RPA C 1598700593
MELISSA ANN DUSSELJEE PA-C 1861415002
LESLIE A PRICE PA-C 1265441703
ALLAN FAUST PA-C 1396851473
JEFFRY SCOTT FREEMAN PA 1285745950
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.