Organization
BAYCARE CLINIC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS JAY AUGUSTIAN CPA (CHIEF EXECUTIVE OFFICER)
(920) 405-5382
Entity
Organization
Contact information
Practice address
980 S SAINT AUGUSTINE ST, PULASKI, WI 54162-9453
(920) 288-5555
(920) 288-5550
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WI
Other
Enumeration date
12/12/2013
Last updated
04/20/2022
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