Organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Active
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Other names
UWHP WRMC Pulmonology Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WATERTOWN REGIONAL MEDICAL CENTER, INC
Authorized official
MR. ROBERT J KLUGE (DIRECTOR PATIENT ACCOUNTING)
(920) 262-4784
Entity
Organization
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4784
(920) 262-4640
Mailing address
PO BOX 684088, CHICAGO, IL 60695-4088
(920) 262-4784
(920) 262-4640
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100013892
—
WI
Enumeration date
02/14/2011
Last updated
03/26/2014
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