Organization
BAYCARE CLINIC, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS AUGUSTIAN (CEO)
(920) 490-9046
Entity
Organization
Contact information
Practice address
106 N WISCONSIN ST, DE PERE, WI 54115-2733
(920) 327-7056
Mailing address
PO BOX 28900, GREEN BAY, WI 54324-0900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49400
WI
Other
Enumeration date
08/26/2016
Last updated
04/20/2022
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