GLEN MICHAEL DIMICK

BLOOMINGTON, IN
NPI1689278640
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X Radiology Radiation Oncology
(Licence: IN  2002093)
Enumeration Date2020-11-30
Last Update Date2020-11-30
Business Address
MR. GLEN MICHAEL DIMICK CMD
3734 W DENISE DR
BLOOMINGTON, IN 47404-8412
Phone number: 773-206-0331
Mailing Address
MR. GLEN MICHAEL DIMICK CMD
3734 W DENISE DR
BLOOMINGTON, IN 47404-8412
Phone number: