Organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Active
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Other names
UWHP WRMC Center For Eye Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATERTOWN REGIONAL MEDICAL CENTER, INC
Authorized official
ROBERT J KLUGE (DIRECTOR-PATIENT ACCOUNTING)
(920) 262-4784
Entity
Organization
Contact information
Practice address
123 HOSPITAL DR, SUITE 1002, WATERTOWN, WI 53098-3320
(920) 261-8225
(920) 261-5343
Mailing address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4784
(920) 262-4600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
WI
207W00000X
Ophthalmology Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007049
—
WI
Enumeration date
12/21/2009
Last updated
03/19/2014
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