MEDICARE: JOHN J WATKINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	56055	WI
2	207X00000X	Orthopaedic Surgery Physician	51822	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457339079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN J WATKINS MD

Provider Business Mailing Address
First Line	:	9576 HWY 70
Second Line	:
City	:	MINOCQUA
State	:	WI
Zip	:	54548-9067
Country	:	US
Telephone Number	:	715-358-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	9576 HWY 70
Second Line	:
City	:	MINOCQUA
State	:	WI
Zip	:	54548-9067
Country	:	US
Telephone Number	:	715-358-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	06/04/2025

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Directions to “ JOHN J WATKINS MD” Practice Location

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