Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dermatology Clinic of Muncie, Inc

Organization Dermatology Physician · NPI 1477647303

Dermatology Clinic of Muncie, Inc provides Dermatology Physician services in Muncie, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1808 W Royale Dr
Muncie, IN 47304-2243 Not confirmed with CMS for 18 years — call before visiting
Phone: (765) 288-8188
Fax: (765) 282-7242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 50001481A (IN)

Record details

NPI number1477647303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Bartholome — President · (765) 288-8188
NPI enumeratedOctober 3, 2006
Last updated in NPPESOctober 18, 2007
Mailing address1808 W Royale Dr, Muncie, IN 47304-2243

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