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

Watertown Regional Medical Center Inc

Organization Family Medicine Physician · NPI 1053590687

Watertown Regional Medical Center Inc is a Family Medicine Physician in Lake Mills, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1025 Mulberry St
Lake Mills, WI 53551-1304
Phone: (920) 648-4518
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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 (WI)

Record details

NPI number1053590687
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWatertown Regional Medical Center Inc
Authorized official Robert Kluge — Director Patient Accounting · (920) 262-4784
Other names Uwhp Wrmc Lake Mills Clinic
NPI enumeratedOctober 31, 2007
Last updated in NPPESMarch 19, 2014
Mailing addressPo Box 684088, Chicago, IL 60695-4088

Other providers in Lake Mills