Bloomington Dermatology Clinic

NPI #1003914920 in Bloomington, Indiana

Provider Information

NPI Number: 1003914920
Entity Type: Organization
Organization Name: Bloomington Dermatology Clinic
Primary Specialty: Dermatology
Enumeration Date: Sep 21, 2006
Last Updated: May 21, 2020

Practice Location

Address: 2001 E 3RD ST
City: Bloomington
State: Indiana
ZIP Code: 47401-7890
Phone: (812) 333-0398

Authorized Official

Name: SCOTT M WILHELMUS, M.D.
Title: C.E.O.
Phone: (812) 333-0398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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