Individual provider · Type 1 NPI

Matthew W. Hasselman, P.A.

Medical Physician Assistant · Fort Wayne, IN

NPI number 1093728628 Active

Practice location

2200 Randallia Dr
Fort Wayne, IN 46805-4638

Call (260) 373-4731 Map

Mailing address

3707 New Vision Dr
Fort Wayne, IN 46845-1702

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10000538A (IN)

Medical Physician Assistant: Definition to come...

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About NPI 1093728628

Matthew W. Hasselman, P.A.'s National Provider Identifier is 1093728628, issued on Aug 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.