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NPI Code Detail

MEDICARE: DR. MATTHEW ALAN SIEGEL MD

MEDICARE: DR. MATTHEW ALAN SIEGEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician125.078398IL
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician86942WI

General Provider Information

NPI Number : 1184258626
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW ALAN SIEGEL MD
Provider Business Mailing Address
First Line : 600 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53792-0001
Country : US
Telephone Number : 608-263-0572
Fax Number : 312-996-9025
Provider Business Practice Location Address
First Line : 600 HIGHLAND AVE
Second Line :
City : MADISON
State : WI
Zip : 53792-0001
Country : US
Telephone Number : 608-263-0572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2020
Last Update Date : 05/18/2026

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