Gary Michael Nissen, MD

NPI #1124550520 in Springfield, Oregon

Provider Information

NPI Number: 1124550520
Entity Type: Individual
Name: Gary Michael Nissen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Apr 3, 2017
Last Updated: Mar 22, 2022

Practice Location

Address: 3333 RIVERBEND DR
City: Springfield
State: Oregon
ZIP Code: 97477-8800
Phone: (541) 681-5124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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