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Organization

BAYCARE CLINIC LLP

Active
Parent organization
BAYCARE CLINIC LLP
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAYCARE CLINIC LLP
Authorized official
MR. CHRIS JAY AUGUSTIAN C.P.A. (CHIEF EXECUTIVE OFFICER)
(920) 405-5382
Entity
Organization

Contact information

Practice address
2700 CROOKS AVE, KAUKAUNA, WI 54130-3900
(877) 884-8796
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
(920) 490-9046

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
06/18/2006
Last updated
04/20/2022
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