Individual
DEAN B RICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
441 N WABASH AVE, MARION, IN 46952-2612
(765) 662-4648
Mailing address
330 N WABASH, STE G20, MARION, IN 46952-2600
(765) 660-7600
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01046235A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200232150
—
IN
Enumeration date
01/23/2007
Last updated
08/08/2014
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