| NPI | 1245489897 |
|---|---|
| Doing Business As | UW HEALTH PARTNERS WATERTOWN REGIONAL MEDICAL CENTER FAST CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT J KLUGE Patient Financial Services Manager 920-262-4784 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2010-09-11 |