# BAYCARE CLINIC, LLP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730559014
- **Authorized official:** TAYLOR KONKLE (PAYOR ENROLLMENT)
- **Authorized official phone:** (920) 301-1327

## Contact information

- **Practice address:** 1400 UNIVERSITY DR, SUITE 101, MARINETTE, WI 54143-5105
- **Practice address phone:** (715) 732-4181
- **Practice address fax:** (715) 732-1348
- **Mailing address:** PO BOX 28900, GREEN BAY, WI 54324-0900
- **Mailing address phone:** (920) 490-9046
- **Mailing address fax:** (920) 405-8005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35480 | WI | Yes |

## Other

- **Enumeration date:** 09/30/2015
- **Last updated:** 08/27/2026