Individual
DR. FERNANDO DAVID NUSSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3190 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3563
(985) 882-4500
Mailing address
64301 HIGHWAY 434, LACOMBE, LA 70445-5411
(985) 882-4500
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD468290
GA
390200000X
Student in an Organized Health Care Education/Training Program
BP10046144
TX
Other
Enumeration date
06/05/2013
Last updated
12/10/2025
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