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Organization
NIESEN ORTHOPEDICS SC
Active
Organization
NIESEN ORTHOPEDICS SC
Active
Other names
Niesen Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW C NIESEN MD MHA (PRESIDENT)
(608) 577-1055
Entity
Organization
Contact information
Practice address
1777 W MAIN ST STE 102, SUN PRAIRIE, WI 53590-3103
(608) 577-1055
Mailing address
1777 W MAIN ST STE 102, SUN PRAIRIE, WI 53590-3103
(608) 577-1055
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
NULL
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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