Individual
JOHN WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
(715) 387-5751
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40435
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32481900
—
WI
Enumeration date
09/02/2006
Last updated
03/05/2025
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