Organization
BAYCARE CLINIC LLP
Active
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
TAYLOR KONKLE (PAYOR ENROLLMENT)
(920) 301-1327
Entity
Organization
Contact information
Practice address
2253 W MASON ST STE 100, GREEN BAY, WI 54303-4706
(920) 327-7000
(920) 327-7005
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
(920) 490-9046
(920) 405-8005
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
08/27/2026
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