Organization · Type 2 NPI

Michael A. Nissenbaum, Md, PA

Diagnostic Radiology Physician · Fort Kent, ME

NPI number 1184857716 Active

Practice location

194 E Main St
Fort Kent, ME 04743-1428

Mailing address

PO Box 1849
Lewiston, ME 04241-1849

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1184857716

Michael A. Nissenbaum, Md, PA's National Provider Identifier is 1184857716, issued on Aug 31, 2009. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Kent, ME. The record was last updated on Aug 31, 2009.