Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Scott Bontekoe

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568081578

Jack Scott Bontekoe is a Student in an Organized Health Care Education/Training Program in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2020.

Licensed in
WI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

600 Highland Ave
Madison, WI 53792-0001
Phone: (608) 263-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 76574-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568081578
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 9, 2020
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022
Mailing address600 Highland Ave, Madison, WI 53792-0001

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