Baycare Clinic LLP

NPI #1104861707 in Oconto Falls, Wisconsin

Provider Information

NPI Number: 1104861707
Entity Type: Organization
Organization Name: Baycare Clinic LLP
Subpart: Yes (part of a larger organization)
Parent Organization: BAYCARE CLINIC LLP
Primary Specialty: Ophthalmology
Enumeration Date: Jun 18, 2006
Last Updated: Mar 31, 2022

Practice Location

Address: 323 E HIGHLAND DR STE 8
City: Oconto Falls
State: Wisconsin
ZIP Code: 54154-1006
Phone: (920) 846-2845

Authorized Official

Name: MR. CHRIS JAY AUGUSTIAN, CPA
Title: CHIEF EXECUTIVE OFFICER
Phone: (920) 405-5382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Ophthalmology	207W00000X	Primary

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