Organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Active
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER, NNC
Other names
UWHP WRMC Center For Eye Care - Johnson Creek
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATERTOWN REGIONAL MEDICAL CENTER, NNC
Authorized official
ROBERT J KLUGE (PATIENT FINANCIAL SERVICES MANAGER)
(920) 262-4784
Entity
Organization
Contact information
Practice address
540 VILLAGE WALK LN, STE G, JOHNSON CREEK, WI 53038-9554
(920) 699-4388
Mailing address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4784
(920) 262-4640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007050
—
WI
Enumeration date
12/29/2009
Last updated
03/19/2014
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