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1932671138
BAYCARE CLINIC, LLP
KEWAUNEE, WI
NPI
1932671138
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Entity Type
Organization
Authorized Contact
NICOLE HETTMANN
Provider Credentialing Coordinator
920-490-9046
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
Enumeration Date
2018-12-28
Last Update Date
2022-04-20
Business Address
BAYCARE CLINIC, LLP
1217 ELLIS ST
KEWAUNEE, WI 54216-1825
Phone number: 877-462-9465
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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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