Basic Information
| Provider Information | |||||||||
| NPI: | 1528144235 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | CADET | ||||||||
| FirstName: | NISSAGE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1905 E HUEBBE PKWY | ||||||||
| Address2: | BELOIT HEALTH SYSTEM INC. | ||||||||
| City: | BELOIT | ||||||||
| State: | WI | ||||||||
| PostalCode: | 535111842 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6083642293 | ||||||||
| FaxNumber: | 6083645452 | ||||||||
| Practice Location | |||||||||
| Address1: | 1905 E HUEBBE PKWY | ||||||||
| Address2: | BELOIT CLINIC | ||||||||
| City: | BELOIT | ||||||||
| State: | WI | ||||||||
| PostalCode: | 535111842 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6083642400 | ||||||||
| FaxNumber: | 6083637376 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/27/2006 | ||||||||
| LastUpdateDate: | 02/20/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 79276 | MA | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 66894-20 | WI | Y | Allopathic & Osteopathic Physicians | Surgery | 2086S0129X | 66894-20 | WI | N | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery | 208600000X | 036-142234 | IL | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0129X | 036-142234 | IL | N | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery |
No ID Information.