Organization
ORTHOPEDIC & SPINE CENTERS OF WISCONSIN, SC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON M SANSONE MD (PRESIDENT)
(608) 294-6464
Entity
Organization
Contact information
Practice address
123 HOSPITAL DR STE 1008, WATERTOWN, WI 53098-3320
(920) 206-6500
(920) 261-4013
Mailing address
2501 W BELTLINE HWY STE 601, MADISON, WI 53713-2309
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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