Mr Glen Michael Dimick, CMD - Radiology in Bloomington, IN

Mr Glen Michael Dimick, CMD is a Radiology - Radiation Oncology physician based in Bloomington, Indiana. Mr Glen Michael Dimick is licensed to practice in Indiana (license number 2002093) and his current practice location is 3734 W Denise Dr, Bloomington, Indiana. He can be reached at his office (for appointments etc.) via phone at (773) 206-0331.

NPI number for Mr Glen Michael Dimick is 1689278640 and his current mailing address is 3734 W Denise Dr, Bloomington, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1689278640.

Contact Information

Mr Glen Michael Dimick, CMD
3734 W Denise Dr,
Bloomington, IN 47404-8412
(773) 206-0331
Not Available

Map and Direction




Physician's Profile

Full NameMr Glen Michael Dimick
GenderMale
SpecialityRadiology - Radiation Oncology
Location3734 W Denise Dr, Bloomington, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689278640
  • Provider Enumeration Date: 11/30/2020
  • Last Update Date: 11/30/2020

Medical Identifiers

Medical identifiers for Mr Glen Michael Dimick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689278640NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology 2002093 (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Glen Michael Dimick is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Glen Michael Dimick, CMD
3734 W Denise Dr,
Bloomington, IN 47404-8412

Ph: () -
Mr Glen Michael Dimick, CMD
3734 W Denise Dr,
Bloomington, IN 47404-8412

Ph: (773) 206-0331

Reviews and Comments


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