# WATERTOWN REGIONAL MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WATERTON REGIONAL MEDICAL CENTER, INC
- **Other names:** UW Health Partners Watertown Regional Medical Internal Medicine Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609058429
- **Legal business name:** WATERTON REGIONAL MEDICAL CENTER, INC
- **Authorized official:** MR. ROBERT JAMES KLUGE (DIRECTOR PATIENT ACCOUNTING)
- **Authorized official phone:** (920) 262-4784

## Contact information

- **Practice address:** 123 HOSPITAL DR, 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

## Taxonomy

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

## Other

- **Enumeration date:** 12/04/2007
- **Last updated:** 11/09/2012