Individual
KRISTEN MARIE VESSELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
301 W HOMER ST, MICHIGAN CITY, IN 46360-4358
(219) 877-1424
Mailing address
301 W HOMER ST, MICHIGAN CITY, IN 46360-4358
(219) 877-1424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019290A
IN
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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