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1003914920
BLOOMINGTON DERMATOLOGY CLINIC
BLOOMINGTON, IN
NPI
1003914920
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Entity Type
Organization
Authorized Contact
SCOTT M WILHELMUS
C.E.O.
812-333-0398
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: IN 01042083A)
Enumeration Date
2006-09-21
Last Update Date
2020-05-21
Business Address
BLOOMINGTON DERMATOLOGY CLINIC
2001 E 3RD ST
BLOOMINGTON, IN 47401-7890
Phone number: 812-333-0398
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Mailing Address
BLOOMINGTON DERMATOLOGY CLINIC
2001 E 3RD ST
BLOOMINGTON, IN 47401-7890
Phone number: 812-333-0398
Copy
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