NPI 1003914920

Bloomington Dermatology Clinic

Organisation Dermatology Physician Bloomington, IN

Practice location

Address: 2001 E 3rd St, Bloomington, IN 47401-7890
Phone: (812) 333-0398
Fax: (812) 333-0698

Authorised official

Name: Scott M Wilhelmus
Title: C.E.O.
Phone: (812) 333-0398

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 01042083A (IN)

Other Dermatology providers in Indiana →

Registry record

NPI: 1003914920
Entity type: Organization
NPI issued: 21 Sep 2006
Record last updated: 21 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.