Individual
DR. JASON M SANSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 W BELTLINE HWY STE 601, MADISON, WI 53713-2309
(608) 333-1849
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(608) 333-1849
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
52642-20
WI
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
52642-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942400221
—
WI
Enumeration date
07/24/2007
Last updated
10/07/2025
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