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Contact Information

WATERTOWN ANESTHESIOLOGY SC
125 HOSPITAL DR
WATERTOWN, WI53098
 Phone: 920-262-4450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for WATERTOWN ANESTHESIOLOGY SC · (Female)

NPI Number 1053356790
Status Active
Credentials
Entity Individual
Enumeration date 06/17/2006
Last updated 03/27/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 32862200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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