Baycare Clinic LLP

NPI #1134412604 in Shawano, Wisconsin

Provider Information

NPI Number: 1134412604
Entity Type: Organization
Organization Name: Baycare Clinic LLP
Primary Specialty: Orthopaedic Surgery
Enumeration Date: May 17, 2011
Last Updated: Apr 13, 2022

Practice Location

Address: 1346 E GREEN BAY ST
City: Shawano
State: Wisconsin
ZIP Code: 54166-2210
Phone: (920) 288-5555

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X
Durable Medical Equipment & Medical Supplies	332B00000X
Orthopaedic Surgery	207X00000X	Primary

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