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Organization
BAY AREA MEDICAL CENTER, INC
Active
Organization
BAY AREA MEDICAL CENTER, INC
Active
Other names
Bay Area Cancer Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN M LAPLANT (CLINIC BUSINESS SERVICES MANAGER)
(715) 735-1722
Entity
Organization
Contact information
Practice address
3100 SHORE DR, MARINETTE, WI 54143-4242
(715) 735-6523
(715) 735-5215
Mailing address
3100 SHORE DR, MARINETTE, WI 54143-4242
(715) 735-1721
(715) 735-1794
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
155
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11001400
—
WI
Enumeration date
01/25/2012
Last updated
01/25/2012
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