Dermatology Clinic of Muncie, Inc.

NPI #1477647303 in Muncie, Indiana

Provider Information

NPI Number: 1477647303
Entity Type: Organization
Organization Name: Dermatology Clinic of Muncie, Inc.
Primary Specialty: Dermatology
Enumeration Date: Oct 3, 2006
Last Updated: Oct 18, 2007

Practice Location

Address: 1808 W ROYALE DR
City: Muncie
State: Indiana
ZIP Code: 47304-2243
Phone: (765) 288-8188

Authorized Official

Name: CHARLES WILLIAM BARTHOLOME, MD
Title: PRESIDENT
Phone: (765) 288-8188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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