Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Watertown Regional Medical Center Inc

Organization Family Medicine Physician · NPI 1053590687

Watertown Regional Medical Center Inc provides Family Medicine Physician services 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 Not confirmed with CMS for 12 years — call before visiting
Phone: (920) 648-4518
Show map & directions

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