Individual
MATTHEW FISCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1307 N 2ND ST, CLINTON, IA 52732-5243
(563) 243-6641
Mailing address
1309 N 2ND ST, CLINTON, IA 52732-5243
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23255
IA
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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