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Individual

DR. CHRISTINA LYNNE NUSSBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1000
(715) 258-1042
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17013
NV
207P00000X
Emergency Medicine Physician
2017-00432
NC
207P00000X
Emergency Medicine Physician
Primary
85454
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518387885
NC
01
19UA0
BCBS OF NC
NC
05
207P00000X
NV
01
NN10190322
MEDICARE
NC
Enumeration date
04/24/2014
Last updated
07/08/2025
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