NPI 1174732572

Baycare Clinic LLP

Organisation Oral & Maxillofacial Surgery (D.M.D.) Green Bay, WI

Practice location

Address: 2581 Development Dr, Green Bay, WI 54311-4247
Phone: (920) 347-0400
Fax: (920) 347-0868
Mailing address: PO Box 28900, Green Bay, WI 54324-0900

Authorised official

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

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Wisconsin →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1174732572
Entity type: Organization
NPI issued: 22 May 2007
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.