Watertown Regional Medical Center INC
Family Medicine in Johnson Creek, WI. Organization (NPI-2).
NPI number1043499080
StatusActive
Last updated in NPPESMar 20, 2014
Details
- NPI
- 1043499080
- Entity type
- Organization (NPI-2)
- Legal business name
- Watertown Regional Medical Center INC
- Organization subpart
- Yes
- Enumeration date
- Oct 26, 2007
- Last updated
- Mar 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | WI | Yes |
Other names
- Uwhp Wrmc Johnson Creek Clinic (Doing Business As)
Practice location
540 Village Walk LnJohnson Creek, WI 53038-9554
Phone 920-699-6200
Mailing address
Po Box 684088Chicago, IL 60695-4088
Phone 920-699-6200 · Fax 920-262-4640
Authorized official
Robert James Kluge
Patient Accounts Manager
9202624784
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