Organization
WATERTOWN ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY TEAGUE (VICE PRESIDENT, CORPORATE SECRETARY)
(920) 541-1872
Entity
Organization
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 541-1872
Mailing address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
10/14/2022
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