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NPI 1003914920

OrganizationActive

Bloomington Dermatology Clinic

NPI 1003914920 · Dermatology Physician · Bloomington, IN

Provider details

NPI number: 1003914920
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Scott Wilhelmus, C.e.o.
License: 01042083A (IN)

Practice location

2001 E 3rd St

Bloomington, IN 47401-7890

Phone: (812) 333-0398

Fax: (812) 333-0698

More IN providers

Mailing address

2001 E 3rd St

Bloomington, IN 47401-7890

Registry dates

Enumerated: 2006-09-21
Last updated: 2020-05-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bloomington Dermatology Clinic — NPI 1003914920, Bloomington, IN | NPI Central