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Individual

DR. CHARLES B DINWIDDIE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3700 N EVERBROOK LN, MUNCIE, IN 47304-5269
(765) 288-8577
Mailing address
3700 N EVERBROOK LN, MUNCIE, IN 47304-5269
(765) 288-8577

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1033750
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100106630A
IN
Enumeration date
02/10/2006
Last updated
08/12/2013
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