Individual
DIANA RISSELMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
110 E MCKINLEY AVE, MISHAWAKA, IN 46545-6217
(574) 255-9677
(574) 257-9772
Mailing address
52499 GLENMORE CT, GRANGER, IN 46530-7856
(574) 277-9079
(574) 277-9079
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26015557A
IN
Other
Enumeration date
02/26/2011
Last updated
02/26/2011
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