| True Stage Madison | |
|
5910 Mineral Point Rd Madison WI 53705-4456 | |
| (608) 665-4990 | |
| Not Available |
| Full Name | True Stage Madison |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 5910 Mineral Point Rd, Madison, Wisconsin |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 6154686270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| True Stage Madison 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | True Stage Madison 5910 Mineral Point Rd Madison WI 53705-4456 Ph: (608) 665-4990 |
| NPI Number | 1154074326 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 07/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154074326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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