MARK BRUCE NISSENBAUM

TUSCALOOSA, AL
NPI1003894502
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: NY  122786)
Enumeration Date2006-01-04
Last Update Date2007-07-09
Business Address
Dr. MARK BRUCE NISSENBAUM M.D.
3701 LOOP RD VA MEDICAL CENTER (679/11)
TUSCALOOSA, AL 35404-5015
Phone number: 205-554-2000
Mailing Address
Dr. MARK BRUCE NISSENBAUM M.D.
3701 LOOP RD VA MEDICAL CENTER (679/11)
TUSCALOOSA, AL 35404-5015
Phone number: 205-554-2000