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

Watertown Physician Practices LLC

Organization Surgery Physician · NPI 1861969149

Watertown Physician Practices LLC is a Surgery Physician in Watertown, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018
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

123 Hospital Dr Ste 2009
Watertown, WI 53098-3320
Phone: (920) 262-4560
Fax: (920) 206-0122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1861969149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnetta Traylor — Ao · (502) 596-6063
Other names Wrmc General Surgery; Wrmc General Surgery
NPI enumeratedOctober 25, 2018
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address680 S 4th St, Louisville, KY 40202-2407

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