Organization
BAYCARE CLINIC, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS J AUGUSTIAN (CEO)
(920) 490-9046
Entity
Organization
Contact information
Practice address
2411 HOLMGREN WAY, GREEN BAY, WI 54304-5224
(920) 857-9187
(920) 857-9335
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
WI
Other
Enumeration date
01/10/2017
Last updated
04/20/2022
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