MICHAEL A. NISSENBAUM MD PA NPI 1184857716

NPI Information

MICHAEL A. NISSENBAUM, MD, PA is a diagnostic radiology radiology in Fort Kent, ME. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MICHAEL A. NISSENBAUM, MD, PA NPI is 1184857716. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

194 E MAIN ST
FORT KENT, ME
ZIP 04743-428
Phone: (207) 834-3155

The provider's authorized official is Michael A Nissenbaum .
The authorized official title is President/ Owner and has the following contact phone number (207) 834-3155.

The enumeration date for this NPI number is 8/31/2009 and was last updated on 8/31/2009.

Taxonomy Codes

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