Watertown Internal Medicine Sc | |
123 Hospital Dr Suite 2009 Watertown WI 53098-3331 | |
(920) 262-9833 | |
Not Available |
Full Name | Watertown Internal Medicine Sc |
---|---|
Speciality | Internal Medicine |
Location | 123 Hospital Dr, Watertown, Wisconsin |
Authorized Official Name and Position | Robert James Kluge (PATIENT ACCOUNTING MANAGER) |
Authorized Official Contact | 9202624784 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Watertown Internal Medicine Sc Po Box 110 Watertown WI 53094-0110 Ph: (920) 262-4784 | Watertown Internal Medicine Sc 123 Hospital Dr Suite 2009 Watertown WI 53098-3331 Ph: (920) 262-9833 |
NPI Number | 1033215835 |
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Provider Enumeration Date | 09/16/2006 |
Last Update Date | 12/04/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033215835 | NPI | - | NPPES |
21267100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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