Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael A. Nissenbaum, MD, PA

Organization Diagnostic Radiology Physician · NPI 1184857716

Michael A. Nissenbaum, MD, PA is a Diagnostic Radiology Physician in Fort Kent, Maine. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

194 E Main St
Fort Kent, ME 04743-1428
Phone: (207) 834-3155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1184857716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Nissenbaum — President/ Owner · (207) 834-3155
NPI enumeratedAugust 31, 2009
Last updated in NPPESAugust 31, 2009
Mailing addressPo Box 1849, Lewiston, ME 04241-1849

Other providers in Fort Kent