Individual provider · Type 1 NPI

Nicholas Lee Nussbaum, MD

Family Medicine Physician · Fort Wayne, IN

NPI number 1720107824 Active

Practice location

1819 Carew St
Fort Wayne, IN 46805-4705

Fax (260) 373-7775

Mailing address

205 Tower Dr
Monroe, IN 46772-9362

Other practice locations

  • 205 Tower Dr, Monroe, IN 46772-9362 · (260) 692-6163

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X01063067A (IN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1720107824

Nicholas Lee Nussbaum, MD's National Provider Identifier is 1720107824, issued on Mar 28, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 3, 2026.