Organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Active
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Other names
UWHP WRMC One Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATERTOWN REGIONAL MEDICAL CENTER, INC
Authorized official
ROBERT JAMES KLUGE (DIRECTOR PATIENT ACCOUNTING)
(920) 262-4784
Entity
Organization
Contact information
Practice address
W359N5002 BROWN ST, 208, OCONOMOWOC, WI 53066-3366
(920) 262-4371
(920) 262-4441
Mailing address
PO BOX 684088, CHICAGO, IL 60695-4088
(920) 262-4784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100029859
—
WI
Enumeration date
05/17/2013
Last updated
03/19/2014
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