Individual
MATTHEW WILLIAM BESSESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 COUNTRY SIDE DR, COLUMBIA CITY, IN 46725-1101
(260) 248-4572
(260) 248-4573
Mailing address
621 COUNTRY SIDE DR, COLUMBIA CITY, IN 46725-1101
(260) 248-4572
(260) 248-4573
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027370A
IN
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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