Organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Active
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Other names
UWHP WRMC ENT 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
123 HOSPITAL DR, STE 2002, WATERTOWN, WI 53098-3320
(920) 262-4460
(920) 262-4533
Mailing address
PO BOX 684088, CHICAGO, IL 60695-4088
(920) 262-4784
(920) 262-4640
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024938
—
WI
Enumeration date
08/14/2012
Last updated
03/19/2014
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