# NIESEN ORTHOPEDICS SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Niesen Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629879440
- **Authorized official:** DR. MATTHEW C NIESEN MD MHA (PRESIDENT)
- **Authorized official phone:** (608) 577-1055

## Contact information

- **Practice address:** 1777 W MAIN ST STE 102, SUN PRAIRIE, WI 53590-3103
- **Practice address phone:** (608) 577-1055
- **Mailing address:** 1777 W MAIN ST STE 102, SUN PRAIRIE, WI 53590-3103
- **Mailing address phone:** (608) 577-1055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/19/2025
- **Last updated:** 03/19/2025