Watertown Regional Medical Center INC

NPI #1033398664 in Ixonia, Wisconsin

Provider Information

NPI Number: 1033398664
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: Family Medicine
Enumeration Date: Oct 31, 2007
Last Updated: Mar 20, 2014

Practice Location

Address: W1046 MARIETTA AVE
Address 2: STE 230
City: Ixonia
State: Wisconsin
ZIP Code: 53036-9498
Phone: (920) 206-6310

Authorized Official

Name: MR. ROBERT JAMES KLUGE
Title: PATIENT ACCOUNTS MANAGER
Phone: (920) 262-4784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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