Organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Active
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Other names
UWHP WRMC Occupational Health
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, STE 2004, WATERTOWN, WI 53098-3336
(920) 262-4371
Mailing address
PO BOX 684088, CHICAGO, IL 60695-4088
(920) 262-4371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016709
—
WI
Enumeration date
08/04/2011
Last updated
03/19/2014
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