Individual
DONALD W NUESSLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1029 W MAIN ST, SUITE M, LEBANON, TN 37087-3351
(615) 453-1252
(615) 453-1286
Mailing address
1029 W MAIN ST, SUITE M, LEBANON, TN 37087-3351
(615) 443-1252
(615) 453-1286
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23546
TN
208000000X
Pediatrics Physician
Primary
MD23546
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3072246
—
TN
Enumeration date
08/17/2006
Last updated
01/16/2013
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