Organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Active
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Other names
WRMC Urgent Care Physicians
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
125 HOSPITAL DR, SUITE 2004, WATERTOWN, WI 53098-3303
(920) 262-4222
Mailing address
PO BOX 684088, CHICAGO, IL 60695-4088
(920) 262-4422
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WI
363L00000X
Nurse Practitioner
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016949
—
WI
Enumeration date
07/22/2011
Last updated
03/25/2014
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