Organization
BAYCARE CLINIC, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS J AUGUSTIAN CEO (CEO / CHIEF EXECUTIVE OFFICER)
(920) 490-9046
Entity
Organization
Contact information
Practice address
720 S VAN BUREN ST, 202, GREEN BAY, WI 54301-3538
(920) 288-8240
(920) 288-8255
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
(920) 490-9046
(920) 405-5388
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/29/2015
Last updated
04/13/2022
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