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Organization
BAYCARE AURORA, LLC
Active
Organization
BAYCARE AURORA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA EWALD (V.P. FINANCE)
(920) 288-3037
Entity
Organization
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Mailing address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-8000
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11023500
—
WI
01
—
CK8066
MEDICARE RAILROAD
WI
Enumeration date
04/10/2008
Last updated
04/10/2008
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