Family Medical Clinic, S.c.

NPI #1770663221 in Watertown, Wisconsin

Provider Information

NPI Number: 1770663221
Entity Type: Organization
Organization Name: Family Medical Clinic, S.c.
Primary Specialty: Family Medicine
Enumeration Date: Oct 17, 2006
Last Updated: Nov 29, 2007

Practice Location

Address: 1507 DOCTORS CT
City: Watertown
State: Wisconsin
ZIP Code: 53094-4101
Phone: (920) 261-4111

Authorized Official

Name: ROBERT JAMES KLUGE
Title: MEDICAL STAFF ASSISTANT
Phone: (920) 262-4784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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