Watertown Regional Medical Center, INC

NPI #1770861965 in Watertown, Wisconsin

Provider Information

NPI Number: 1770861965
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: Jul 22, 2011
Last Updated: Mar 25, 2014

Practice Location

Address: 125 HOSPITAL DR
Address 2: SUITE 2004
City: Watertown
State: Wisconsin
ZIP Code: 53098-3303
Phone: (920) 262-4222

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Physician Assistant	363A00000X	Primary

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