Organization
WATERTOWN REGIONAL MEDICAL CENTER INC
Active
Organization
WATERTOWN REGIONAL MEDICAL CENTER INC
Active
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER INC
Other names
UWHP WRMC Heart & Vascular Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATERTOWN REGIONAL MEDICAL CENTER INC
Authorized official
MR. ROBERT JAMES KLUGE (DIRECTOR-PATIENT ACCOUNTING)
(920) 262-4784
Entity
Organization
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4784
Mailing address
PO BOX 684088, CHICAGO, IL 60695-4088
(920) 262-4784
(920) 262-4640
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21323500
—
WI
Enumeration date
10/31/2007
Last updated
03/20/2014
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