# DR. DEAN J WICKEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811991763
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 010701869B | IN | Yes |
| 2086S0129X | Vascular Surgery Physician | 29653 | WV | — |

## Other

- **Enumeration date:** 06/09/2005
- **Last updated:** 04/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201039920 | — | IN |