Individual
DR. MICHAEL A NISSENBAUM
Active
Individual
DR. MICHAEL A NISSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101287300
VA
2085R0202X
Diagnostic Radiology Physician
042.0007498
VT
2085R0202X
Diagnostic Radiology Physician
25IA12454600
NJ
2085R0202X
Diagnostic Radiology Physician
305724
LA
2085R0202X
Diagnostic Radiology Physician
Primary
46969
OK
2085R0202X
Diagnostic Radiology Physician
72052
TN
2085R0202X
Diagnostic Radiology Physician
EL31162
NH
Other
Enumeration date
12/23/2005
Last updated
08/20/2026
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