Individual
CARL EDWARD DILLMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2109 GREEN VALLEY RD, NEW ALBANY, IN 47150
(812) 948-2232
(812) 945-0869
Mailing address
2109 GREEN VALLEY RD, NEW ALBANY, IN 47150
(812) 948-2232
(812) 945-0869
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01019402A
IN
207RC0000X
Cardiovascular Disease Physician
21978
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100116090A
—
IN
05
—
64219785
—
KY
Enumeration date
07/12/2006
Last updated
08/18/2011
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