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Organization

BAYCARE CLINIC LLP

Active
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Organization

BAYCARE CLINIC LLP

Active
Parent organization
BAYCARE CLINIC LLP
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAYCARE CLINIC LLP
Authorized official
TAYLOR KONKLE (PAYOR ENROLLMENT)
(920) 301-1327
Entity
Organization

Contact information

Practice address
2581 DEVELOPMENT DR, GREEN BAY, WI 54311-4247
(920) 347-0400
(920) 347-0868
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
(920) 490-9046
(920) 405-8005

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—

Other

Enumeration date
05/22/2007
Last updated
08/27/2026
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