Watertown Regional Medical Center, INC

NPI #1013296391 in Watertown, Wisconsin

Provider Information

NPI Number: 1013296391
Entity Type: Organization
Organization Name: Watertown Regional Medical Center, INC
Subpart: Yes (part of a larger organization)
Parent Organization: WATERTOWN REGIONAL MEDICAL CENTER, INC
Primary Specialty: Physician Assistant
Enumeration Date: Aug 4, 2011
Last Updated: Mar 19, 2014

Practice Location

Address: 123 HOSPITAL DR
Address 2: STE 2004
City: Watertown
State: Wisconsin
ZIP Code: 53098-3336
Phone: (920) 262-4371

Authorized Official

Name: ROBERT JAMES KLUGE
Title: DIRECTOR-PATIENT ACCOUNTING
Phone: (920) 262-4784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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