Baycare Clinic, LLP

NPI #1033867213 in Two Rivers, Wisconsin

Provider Information

NPI Number: 1033867213
Entity Type: Organization
Organization Name: Baycare Clinic, LLP
Primary Specialty: Otolaryngology
Enumeration Date: Mar 16, 2022
Last Updated: Mar 16, 2022

Practice Location

Address: 5300 MEMORIAL DR
City: Two Rivers
State: Wisconsin
ZIP Code: 54241-3923
Phone: (920) 288-8000

Authorized Official

Name: NICOLE HETTMANN, CPCS
Title: SR PROVIDER CREDENTIALING COORD.
Phone: (920) 965-4055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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