Organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Active
Parent organization
WATERTOWN REGIONAL MEDICAL CENTER, INC
Other names
WRMC ER 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, WATERTOWN, WI 53098-3303
(920) 262-4210
Mailing address
PO BOX 684088, CHICAGO, IL 60695-4088
(920) 262-4210
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100016723
—
WI
Enumeration date
07/22/2011
Last updated
03/19/2014
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