# WATERTOWN REGIONAL MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WATERTOWN REGIONAL MEDICAL CENTER, INC
- **Other names:** WRMC ER Physicians
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1942588132
- **Legal business name:** WATERTOWN REGIONAL MEDICAL CENTER, INC
- **Authorized official:** ROBERT JAMES KLUGE (DIRECTOR- PATIENT ACCOUNTING)
- **Authorized official phone:** (920) 262-4784

## Contact information

- **Practice address:** 125 HOSPITAL DR, WATERTOWN, WI 53098-3303
- **Practice address phone:** (920) 262-4210
- **Mailing address:** PO BOX 684088, CHICAGO, IL 60695-4088
- **Mailing address phone:** (920) 262-4210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | WI | Yes |

## Other

- **Enumeration date:** 07/22/2011
- **Last updated:** 03/19/2014