Provider Demographics
NPI:1528144235
Name:CADET, NISSAGE (MD)
Entity type:Individual
Prefix:
First Name:NISSAGE
Middle Name:
Last Name:CADET
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1905 E HUEBBE PKWY
Mailing Address - Street 2:BELOIT HEALTH SYSTEM INC.
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-1842
Mailing Address - Country:US
Mailing Address - Phone:608-364-2293
Mailing Address - Fax:608-364-5452
Practice Address - Street 1:1905 E HUEBBE PKWY
Practice Address - Street 2:BELOIT CLINIC
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-1842
Practice Address - Country:US
Practice Address - Phone:608-364-2400
Practice Address - Fax:608-363-7376
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2017-02-20
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Provider Licenses
StateLicense IDTaxonomies
MA79276208600000X
WI66894-20208600000X, 2086S0129X
IL036-142234208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery