Baycare Clinic LLP
NPI #1306117031 in Shawano, Wisconsin
Provider Information
- NPI Number
- 1306117031
- Entity Type
- Organization
- Organization Name
- Baycare Clinic LLP
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Jan 26, 2012
- Last Updated
- Apr 13, 2022
Practice Location
Authorized Official
- Name
- NICOLE HETTMANN
- Title
- SENIOR PROVIDER CREDENTIALING COORD
- Phone
- (920) 490-9046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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