Organization
WICKEL VASCULAR SURGERY & MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEAN J WICKEL MD (OWNER)
(502) 472-6629
Entity
Organization
Contact information
Practice address
1919 STATE ST STE 444, NEW ALBANY, IN 47150-6809
(812) 913-0037
Mailing address
PO BOX 642, PROSPECT, KY 40059-0642
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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