# WATERS PREVENTIVE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Waters Integrative Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306069364
- **Authorized official:** DR. ROBERT SCOTT WATERS M.D. (OWNER)
- **Authorized official phone:** (608) 254-7178

## Contact information

- **Practice address:** 320 RACE ST, WISCONSIN DELLS, WI 53965-1822
- **Practice address phone:** (608) 254-7178
- **Practice address fax:** (608) 253-7139
- **Mailing address:** PO BOX 357, WISCONSIN DELLS, WI 53965-0357
- **Mailing address phone:** (608) 254-7178
- **Mailing address fax:** (608) 253-7139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 27520 | WI | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020