Individual provider · Type 1 NPI

Glen Michael Dimick, CMD

Radiation Oncology Physician · Bloomington, IN

NPI number 1689278640 Active

Practice location

3734 W Denise Dr
Bloomington, IN 47404-8412

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician Primary 2085R0001X2002093 (IN)

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

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About NPI 1689278640

Glen Michael Dimick, CMD's National Provider Identifier is 1689278640, issued on Nov 30, 2020. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Bloomington, IN. The record was last updated on Nov 30, 2020.