# WICKEL VASCULAR SURGERY & MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801456603
- **Authorized official:** DR. DEAN J WICKEL MD (OWNER)
- **Authorized official phone:** (502) 472-6629

## Contact information

- **Practice address:** 1919 STATE ST STE 444, NEW ALBANY, IN 47150-6809
- **Practice address phone:** (812) 913-0037
- **Mailing address:** PO BOX 642, PROSPECT, KY 40059-0642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/14/2019
- **Last updated:** 06/14/2019