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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

NPI Number 1053356790
LBN Legal business name WATERTOWN ANESTHESIOLOGY SC
Authorized official DAVID HASLER - (OWNER SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2006
Last updated 03/27/2008 - About 18 years ago
Identifiers
WI Medicaid 32862200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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