| Uwhp Wrmc Waterloo Clinic | |
|
111 Anna St Waterloo WI 53594-1184 | |
| (920) 478-3776 | |
| (920) 478-3979 |
| Full Name | Uwhp Wrmc Waterloo Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 111 Anna St, Waterloo, 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 |
|---|---|
| Uwhp Wrmc Waterloo Clinic Po Box 684088 Chicago IL 60695-4088 Ph: (920) 262-4784 | Uwhp Wrmc Waterloo Clinic 111 Anna St Waterloo WI 53594-1184 Ph: (920) 478-3776 |
| NPI Number | 1427232495 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 03/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427232495 | NPI | - | NPPES |
| 21320100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Wisconsin) | Primary |
Park Hill Clinic, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Anna St, Waterloo, WI 53594 Phone: 920-478-3776 Fax: 920-478-3979 |