Individual
MICHAEL WYSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-5000
Mailing address
601 GRA ROY DR, GOSHEN, IN 46526-4805
(574) 350-8040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03438650
OH
183500000X
Pharmacist
Primary
26028777A
IN
Other
Enumeration date
03/23/2020
Last updated
06/27/2025
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