Individual
MICHAEL CRAIG NUSSDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 S COURT ST STE F, VISALIA, CA 93277-4931
(559) 734-9244
(559) 734-6932
Mailing address
1700 S COURT ST STE F, VISALIA, CA 93277-4931
(559) 734-9244
(559) 734-6932
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
6620
NV
2085R0202X
Diagnostic Radiology Physician
Primary
G73914
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002003018
—
NV
05
—
00G739140
—
CA
01
—
300127544
RAILROAD MEDICARE
NV
01
—
300127546
RAILROAD MEDICARE
CA
Enumeration date
01/25/2006
Last updated
11/13/2018
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