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
MR. CHRIS JAY AUGUSTIAN CPA (CHIEF EXECUTIVE OFFICER)
(920) 405-5382
Entity
Organization
Contact information
Practice address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 743-6974
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
(920) 965-4055
(920) 405-5388
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
04/13/2022
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