Search › Oklahoma › 2085R0202X
Michael Nissenbaum, MD
NPI 1356328975 · on the registry since 2005
Practice
- Address
- 940 Ne 13th St # 3g3210
Oklahoma City, OK 73104 - Phone
- (405) 271-5125
- Fax
- (405) 271-3462
- Clinicians at this address
- 9
Additional practice sites
- 3600 Minnesota Dr Ste 800, Edina, MN
- 3601 The Vanderbilt Clinic, Nashville, TN
- 101 Hospital Center Blvd, Stafford, VA
- 1001 Sam Perry Blvd, Fredericksburg, VA
- 1 Medical Center Dr, Lebanon, NH
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085R0202X
2085R0202X
2085R0202X
2085R0202X
2085R0202X
2085R0202X - Licence states on file
- NJ, VA, LA, VT, NH, OK, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma