Organization
WATERTOWN INTERNAL MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JAMES KLUGE (PATIENT ACCOUNTING MANAGER)
(920) 262-4784
Entity
Organization
Contact information
Practice address
123 HOSPITAL DR, SUITE 2009, WATERTOWN, WI 53098-3331
(920) 262-9833
Mailing address
PO BOX 110, WATERTOWN, WI 53094-0110
(920) 262-4784
(920) 262-4640
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21267100
—
WI
Enumeration date
09/16/2006
Last updated
12/04/2007
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