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Individual

SHELDEN C WICAL

Active
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Individual

SHELDEN C WICAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34007266
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104024546
NPI GROUP - MIAMI & ERIE FAMILY PRACTICE & PEDIATRICS
OH
05
—
2236940
—
OH
01
—
9934723
MEDICARE GROUP PTAN
OH
Enumeration date
05/16/2006
Last updated
03/24/2022
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