Individual
DR. TEODORO P NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1460 N CAMINO ALTO STE 201, VALLEJO, CA 94589-2567
(707) 645-7210
(707) 645-7249
Mailing address
1460 N CAMINO ALTO STE 201, VALLEJO, CA 94589-2567
(707) 645-7210
(707) 645-7249
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A77901
CA
Other
Enumeration date
07/15/2006
Last updated
03/27/2025
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