Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Watertown Physician Practices LLC

Organization Family Medicine Physician · NPI 1699315366

Watertown Physician Practices LLC is a Family Medicine Physician in Watertown, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Dodge St
Watertown, WI 53094-4434
Phone: (920) 262-1460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1699315366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnetta Traylor — Ao · (502) 596-6063
NPI enumeratedJanuary 10, 2020
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address680 S 4th St, Louisville, KY 40202-2407

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