Watson, Roger D.

Watson, Roger D. is an individual health care provider with primary practice located at 2750 Golf Road Prohealth Care Medical Associates, Delafield WI 53018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Watson, Roger D. can be contacted via phone (262) 928-4900.

Contact Information

Primary practice address
2750 Golf Road Prohealth Care Medical Associates Delafield WI 53018
Phone: (262) 928-4900
Fax: (262) 928-4960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42990 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42990 Wisconsin

Profile Details

NPI number 1932172327
LBN Legal business name Watson, Roger D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 9th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932172327 NPPES
Wisconsin MEDICAID 34349700

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