Organization
WATERTOWN EMERGENCY PHYSICIANS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN HARGARTEN M.D. (PHYSICIANS)
(920) 262-4222
Entity
Organization
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4222
Mailing address
PO BOX 110, WATERTOWN, WI 53094-0110
(920) 262-4784
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21254200
—
WI
Enumeration date
09/26/2006
Last updated
11/05/2007
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