National Provider Identifier Database

GLEN M DIMICK, CMD – NPI #1689278640
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

GLEN M DIMICK, CMD
3734 W DENISE DR
BLOOMINGTON, IN47404-8412
Phone: 773-206-0331
Fax:
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for GLEN M DIMICK

NPI Number 1689278640
Credentials CMD
Entity Individual
Enumeration date 11/30/2020
Last updated 11/30/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 2002093
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for GLEN M DIMICK, CMD

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