Organization · Type 2 NPI

Watertown Regional Medical Center, Inc

Medical Physician Assistant · Watertown, WI

NPI number 1245489897 Active

Practice location

701 S Church St
Watertown, WI 53094-6213

Call (920) 262-4784 Map

Fax (920) 262-4640

Mailing address

125 Hospital Dr
Watertown, WI 53098-3303

Specialties and licenses

Taxonomy	Code	License
Medical Physician Assistant Primary	363AM0700X	None listed
Nurse Practitioner	363L00000X	None listed

Medical Physician Assistant: Definition to come...

7 other providers at this address

NPI record

NPI: 1245489897
Entity type: Organization (Type 2)
Issued: Sep 18, 2008
Last updated: Sep 11, 2010
Status: Active
Subpart: Yes of Watertown Regional Medical Center, Inc

Other names

<unavail>
Uw Health Partners Watertown Regional Medical Center Fast Care Clinic · doing business as

Authorized official

Robert J Kluge
Patient Financial Services Manager
(920) 262-4784

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245489897

Watertown Regional Medical Center, Inc's National Provider Identifier is 1245489897, issued on Sep 18, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Watertown, WI. The record was last updated on Sep 11, 2010.