Organization · Type 2 NPI

Watertown Regional Medical Center, Inc

Plastic Surgery Physician · Oconomowoc, WI

NPI number 1629346028 Active

Practice location

W359N5002 Brown St, Suite 208
Oconomowoc, WI 53066-3366

Call (920) 262-4577 Map

Fax (920) 262-4578

Mailing address

PO Box 684088
Chicago, IL 60695-4088

Specialties and licenses

Taxonomy	Code	License
Plastic Surgery Physician Primary	208200000X	None listed

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

10 other providers at this address

NPI record

NPI: 1629346028
Entity type: Organization (Type 2)
Issued: Dec 13, 2011
Last updated: Mar 25, 2014
Status: Active
Subpart: Yes of Watertown Regional Medical Center, Inc

Other names

<unavail>
Uwhp WRMC Bellissa Oconomowoc · doing business as

Authorized official

Robert James Kluge
Director-Patient Accounting
(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.

Is this your record? How to update it.

About NPI 1629346028

Watertown Regional Medical Center, Inc's National Provider Identifier is 1629346028, issued on Dec 13, 2011. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Oconomowoc, WI. The record was last updated on Mar 25, 2014.