| Waters Preventive Medical Center | |
|
320 Race St Wisconsin Dells WI 53965-1822 | |
| (608) 254-7178 | |
| (608) 253-7139 |
| Full Name | Waters Preventive Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 320 Race St, Wisconsin Dells, Wisconsin |
| Authorized Official Name and Position | Robert Scott Waters (OWNER) |
| Authorized Official Contact | 6082547178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waters Preventive Medical Center Po Box 357 Wisconsin Dells WI 53965-0357 Ph: (608) 254-7178 | Waters Preventive Medical Center 320 Race St Wisconsin Dells WI 53965-1822 Ph: (608) 254-7178 |
| NPI Number | 1306069364 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306069364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 27520 (Wisconsin) | Primary |