Individual
HILARY K. DYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
52500 FIR RD, GRANGER, IN 46530-8579
(574) 204-7060
(574) 204-7051
Mailing address
52500 FIR RD, GRANGER, IN 46530-8579
(574) 204-7060
(574) 204-7051
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01069720B
IN
207R00000X
Internal Medicine Physician
28384
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09328739
—
MS
05
—
201219130
—
IN
01
—
51593312
BCBS - STANTON RD
AL
01
—
51593317
BCBS - FILLINGIM ST
AL
Enumeration date
05/03/2007
Last updated
12/02/2014
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