Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Glen Michael Dimick, CMD

Individual provider Radiation Oncology Physician · NPI 1689278640

Mr. Glen Michael Dimick, CMD is a Radiation Oncology Physician in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020
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Practice location Address checks out

3734 W Denise Dr
Bloomington, IN 47404-8412
Phone: (773) 206-0331
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Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 2002093 (IN)

Record details

NPI number1689278640
Entity typeIndividual (Type 1)
GenderMale
Credentials CMD
Sole proprietorNo
NPI enumeratedNovember 30, 2020
Last updated in NPPESNovember 30, 2020
Certification dateNovember 30, 2020
Mailing address3734 W Denise Dr, Bloomington, IN 47404-8412

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