Organization
BAYCARE CLINIC, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS AUGUSTIAN (CEO)
(920) 405-5382
Entity
Organization
Contact information
Practice address
2225 KAFTAN WAY, DE PERE, WI 54115-4052
(920) 288-8240
(920) 288-8255
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Enumeration date
04/15/2016
Last updated
04/20/2022
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