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1033867213
BAYCARE CLINIC, LLP
TWO RIVERS, WI
NPI
1033867213
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Entity Type
Organization
Authorized Contact
NICOLE HETTMANN
Sr Provider Credentialing Coord.
920-965-4055
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2022-03-16
Last Update Date
2022-03-16
Business Address
BAYCARE CLINIC, LLP
5300 MEMORIAL DR
TWO RIVERS, WI 54241-3923
Phone number: 920-288-8000
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Mailing Address
BAYCARE CLINIC, LLP
PO BOX 28900
GREEN BAY, WI 54324-0900
Phone number: 920-490-9046
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