Organization
BAYCARE CLINIC LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS J AUGUSTIAN (CEO)
(920) 965-4065
Entity
Organization
Contact information
Practice address
10624 N PORT WASHINGTON RD, MEQUON, WI 53092-5049
(920) 497-0003
(920) 497-0024
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
(920) 490-9046
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
04/20/2022
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