Individual
DR. JOHN W DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
441 N WABASH AVE, MARION, IN 46952-2612
(765) 662-1441
Mailing address
PO BOX 2469, INDIANAPOLIS, IN 46206-2469
(866) 494-8259
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1047076A
IN
2085R0202X
Diagnostic Radiology Physician
ME170906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082188
BC BS
IN
05
—
200217700
—
IN
Enumeration date
07/19/2006
Last updated
12/30/2024
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