# WATERTOWN INTERNAL MEDICINE SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033215835
- **Authorized official:** MR. ROBERT JAMES KLUGE (PATIENT ACCOUNTING MANAGER)
- **Authorized official phone:** (920) 262-4784

## Contact information

- **Practice address:** 123 HOSPITAL DR, SUITE 2009, WATERTOWN, WI 53098-3331
- **Practice address phone:** (920) 262-9833
- **Mailing address:** PO BOX 110, WATERTOWN, WI 53094-0110
- **Mailing address phone:** (920) 262-4784
- **Mailing address fax:** (920) 262-4640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 12/04/2007