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Specialty details in registry · Bloomington, IN

Call (812) 929-0428 Directions

At a glance

1905 N Monroe St, Bloomington, IN 47404-2141

NPPES record updated Oct 30, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1905 N Monroe St
Bloomington, IN 47404-2141
Professional details: NPI, taxonomy & registry record
NPI1861092512
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251E00000X
Enumeration date
Oct 30, 2020
Record updated
Oct 30, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251E00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1905 N Monroe St
Bloomington, IN 47404-2141
Phone
(812) 929-0428
Mailing address
1905 N MONROE ST

BLOOMINGTON, IN 474042141
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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