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Organization

ORTHOPEDIC & SPINE CENTERS OF WISCONSIN, SC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON MATTHEW SANSONE MD (PRESIDENT)
(608) 333-1849
Entity
Organization

Contact information

Practice address
2501 W BELTLINE HWY STE 601, MADISON, WI 53713-2309
(623) 241-8730
Mailing address
2501 W BELTLINE HWY STE 601, MADISON, WI 53713-2309

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100233718
WI
Enumeration date
11/18/2022
Last updated
08/12/2025
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