Organization
WATERTOWN PHYSICIAN PRACTICES LLC
Active
Other names
WRMC General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNETTA TRAYLOR (AO)
(502) 596-6063
Entity
Organization
Contact information
Practice address
123 HOSPITAL DR STE 2009, WATERTOWN, WI 53098-3320
(920) 262-4560
(920) 206-0122
Mailing address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-6063
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
06/26/2025
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