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Individual

ANDREW JEFFREY MATISOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1019
(608) 263-8100
(608) 262-6247
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5174-320
WI
207L00000X
Anesthesiology Physician
N0956
TX
207LP3000X
Pediatric Anesthesiology Physician
Primary
C4565
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
230573
MEDICARE GROUP NUMBER
NC
Enumeration date
05/31/2007
Last updated
11/17/2025
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