NPI 1154366631

Baycare Clinic LLP

Organisation Durable Medical Equipment & Medical Supplies Sturgeon Bay, WI

Practice location

Address: 323 S 18th Ave, Sturgeon Bay, WI 54235-1401
Phone: (920) 743-6974
Mailing address: PO Box 28900, Green Bay, WI 54324-0900

Authorised official

Name: Chris Jay Augustian
Title: Chief Executive Officer
Phone: (920) 405-5382

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1154366631
Entity type: Organization
NPI issued: 18 Jun 2006
Record last updated: 13 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.