Individual
ALEXANDER NISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
WALTER REED NATIONAL MILITARY MEDICAL CENTER, 8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(703) 401-2509
Mailing address
WALTER REED NATIONAL MILITARY MEDICAL CENTER, 8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(703) 401-2509
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
0101263081
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101263081
VA
Other
Enumeration date
03/10/2016
Last updated
08/20/2025
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