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Organization
WATERTOWN UROLOGY, S.C.
Active
Organization
WATERTOWN UROLOGY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD SCOTT SOKOVICH M.D. F.A.C.S. (UROLOGIST)
(920) 261-1334
Entity
Organization
Contact information
Practice address
123 HOSPITAL DRIVE, SUITE 2002, WATERTOWN, WI 53098
(920) 261-1334
(920) 261-8755
Mailing address
123 HOSPITAL DRIVE, SUITE 2002, WATERTOWN, WI 53098
(920) 261-1334
(920) 261-8755
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
32955-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023956
PHYSICIANS PLUS
WI
05
—
21281700
—
WI
01
—
553251
DEAN HEALTH PLAN
WI
01
—
DF8987
RAILROAD MEDICARE
WI
Enumeration date
10/03/2006
Last updated
12/11/2007
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