Organization
BAY AREA MEDICAL CENTER, INC
Active
Other names
Bay Area Urology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN M LAPLANT (CLINIC BUSINESS SERVICES MANAGER)
(715) 735-1722
Entity
Organization
Contact information
Practice address
3130 SHORE DR, SUITE 020, MARINETTE, WI 54143-4291
(715) 735-8064
(715) 735-8065
Mailing address
3100 SHORE DR, MARINETTE, WI 54143-4242
(715) 735-1721
(715) 735-1794
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
155
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11001400
—
WI
Enumeration date
01/10/2012
Last updated
01/10/2012
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