| Family Medical Clinic, S.c. | |
|
1507 Doctors Ct Watertown WI 53094-4101 | |
| (920) 261-4111 | |
| Not Available |
| Full Name | Family Medical Clinic, S.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1507 Doctors Ct, Watertown, Wisconsin |
| Authorized Official Name and Position | Robert James Kluge (MEDICAL STAFF ASSISTANT) |
| Authorized Official Contact | 9202624784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Clinic, S.c. Po Box 110 Watertown WI 53094-0110 Ph: (920) 262-4784 | Family Medical Clinic, S.c. 1507 Doctors Ct Watertown WI 53094-4101 Ph: (920) 261-4111 |
| NPI Number | 1770663221 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 11/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770663221 | NPI | - | NPPES |
| 21266600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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