Baycare Clinic, LLP
NPI #1124516893 in Sturgeon Bay, Wisconsin
Provider Information
- NPI Number
- 1124516893
- Entity Type
- Organization
- Organization Name
- Baycare Clinic, LLP
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Apr 27, 2018
- Last Updated
- Mar 31, 2022
Practice Location
- Address
- 636 N 12TH AVE
- City
- Sturgeon Bay
- State
- Wisconsin
- ZIP Code
- 54235-1249
- Phone
- (920) 743-2001
Authorized Official
- Name
- NICOLE HETTMANN
- Title
- PROVIDER CREDENTIALING COORDINATOR
- Phone
- (920) 490-9046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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