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MR. GLEN MICHAEL DIMICK CMD
NPI 1689278640
Radiology - Radiation Oncology in Bloomington, IN

Active since November 30, 2020
3734 W DENISE DR, BLOOMINGTON, IN 47404(773) 206-0331 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Glen Michael Dimick Cmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLEN MICHAEL DIMICK CMD (NPI 1689278640) is an individual radiation oncology provider in Bloomington, Indiana, licensed in Indiana (2002093) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1689278640
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameMR. GLEN MICHAEL DIMICKCredential: CMD
Location Address3734 W DENISE DRBloomington, IN 47404-8412
Mailing Address3734 W Denise DrBloomington, IN 47404-8412
Phone(773) 206-0331
Sole ProprietorNo
Enumeration DateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
✔ NPI 1689278640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in IN · 2002093
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
3734 W DENISE DR, Bloomington, IN 47404
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Dimick's NPI number?

The NPI number for Glen Dimick is 1689278640. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Glen Dimick located?

Glen Dimick practices at 3734 W Denise Dr, Bloomington, IN 47404. The listed phone number is (773) 206-0331.

What is Glen Dimick's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Glen Dimick was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.