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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GLEN MICHAEL DIMICK, CMD

Active

MR. GLEN MICHAEL DIMICK, CMD is a Radiation Oncology healthcare provider located in BLOOMINGTON, Indiana. NPI 1689278640 is currently active in the NPPES registry. Verify at CMS.

Radiation Oncology · BLOOMINGTON, IN

Registration Details

NPI Number
1689278640
Provider Type
Individual
Gender
Male
NPI Issued
Nov 30, 2020 (5.7301352185087 yrs)
Last Updated
Nov 30, 2020
License
2002093 (IN)

Practice Information

Address
3734 W DENISE DR
BLOOMINGTON, IN, 474048412
Browse IN providers · Browse ZIP 47404
Phone
7732060331
Primary Specialty
Radiation Oncology
2085R0001X

Other Radiation Oncology Providers in BLOOMINGTON, IN

Name Credential NPI
DR. BHARATI KHARKAR MD 1164487567
DR. DAVID YOON LEE MD 1194781872
MARKUS M. FITZEK MD 1932159860
JEFFREY C BUCHSBAUM MD 1568402303
TERESA ANN OLDHAM MD 1841335874
DR. FRED YONG-TAO WU M.D., PH.D. 1851574073
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.