| Watertown Regional Medical Center, Inc | |
|
123 Hospital Dr Ste 2002 Watertown WI 53098-3331 | |
| (920) 262-4829 | |
| (920) 262-4533 |
| Full Name | Watertown Regional Medical Center, Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 123 Hospital Dr, Watertown, Wisconsin |
| Authorized Official Name and Position | Robert J Kluge (DIRECTOR PATIENT ACCOUNTING) |
| Authorized Official Contact | 9202624784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Watertown Regional Medical Center, Inc Po Box 684088 Chicago IL 60695-4088 Ph: (920) 262-4784 | Watertown Regional Medical Center, Inc 123 Hospital Dr Ste 2002 Watertown WI 53098-3331 Ph: (920) 262-4829 |
| NPI Number | 1669618781 |
|---|---|
| Provider Enumeration Date | 12/18/2008 |
| Last Update Date | 03/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669618781 | NPI | - | NPPES |
| 100001551 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Wisconsin) | Primary |
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