MICHAEL A. NISSENBAUM, MD, PA

FORT KENT, ME
NPI1184857716
Entity TypeOrganization
Authorized ContactMICHAEL A NISSENBAUM
President/ Owner
207-834-3155
Organization Subpart ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
Enumeration Date2009-08-31
Last Update Date2009-08-31
Business Address
MICHAEL A. NISSENBAUM, MD, PA
194 E MAIN ST
FORT KENT, ME 04743-1428
Phone number: 207-834-3155
Mailing Address
MICHAEL A. NISSENBAUM, MD, PA
PO BOX 1849
LEWISTON, ME 04241-1849
Phone number: 207-784-2554