Watertown Family Practice Associates S.c.

NPI #1811064942 in Watertown, Wisconsin

Provider Information

NPI Number: 1811064942
Entity Type: Organization
Organization Name: Watertown Family Practice Associates S.c.
Primary Specialty: Family Medicine
Enumeration Date: Nov 30, 2006
Last Updated: Apr 7, 2022

Practice Location

Address: 127 HOSPITAL DR
City: Watertown
State: Wisconsin
ZIP Code: 53098-3303
Phone: (920) 261-8500

Authorized Official

Name: MICHAEL E SULLIVAN, M.D.
Title: CLINIC PRESIDENT
Phone: (920) 261-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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