| Watertown Physician Practices Llc | |
|
111 Dodge St Watertown WI 53094-4434 | |
| (920) 262-1460 | |
| Not Available |
| Full Name | Watertown Physician Practices Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Dodge St, Watertown, Wisconsin |
| Authorized Official Name and Position | Johnetta Traylor (AO) |
| Authorized Official Contact | 5025966063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Watertown Physician Practices Llc 680 S 4th St Louisville KY 40202-2407 Ph: (502) 596-6063 | Watertown Physician Practices Llc 111 Dodge St Watertown WI 53094-4434 Ph: (920) 262-1460 |
| NPI Number | 1699315366 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 06/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699315366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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