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Organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Active
Organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Active
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Other names
UWHP WRMC Orthopedics and Sports Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATERTOWN REGIONAL MEDICAL CENTER, INC
Authorized official
ROBERT JAMES KLUGE (DIRECTOR PATIENT ACCOUNTING)
(920) 262-4784
Entity
Organization
Contact information
Practice address
123 HOSPITAL DR, SUITE 1008, WATERTOWN, WI 53098-3320
(920) 206-6500
Mailing address
123 HOSPITAL DR, STE 1008, WATERTOWN, WI 53098-3320
(920) 262-4784
(920) 262-4640
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100009329
—
WI
Enumeration date
05/11/2010
Last updated
03/20/2014
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