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BAYCARE AURORA, LLC

Physicians Hospitalist

Provider NPI: 1255387726

Organization Information:
Organization Name:  BAYCARE AURORA, LLC
Organization is not Subpart
Authorized Official:  SANDRA  EWALD  VP FINANCE  920-288-3037

Practice Location:
2845 GREENBRIER RD  GREEN BAY, WI 54311-6519 US
Tel: 920-288-8000  Fax: --

Business Mailing Address:
2845 GREENBRIER RD  GREEN BAY, WI 54311-6519 US
Tel: 920-288-8000  Fax: --

NPI Information:
NPI: 1255387726
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N208M00000XPhysicians
Hospitalist
N207RC0200XPhysicians
Internal Medicine
N207RC0000XPhysicians
Internal Medicine
N207RX0202XPhysicians
Internal Medicine
Y282N00000XHospitals
General Acute Care Hospital
N208600000XPhysicians
Surgery
N208100000XPhysicians
Physical Medicine & Rehabilitation

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE RAILROADCK806601
11023500WI05



American Medical Association 2012 taxonomy code information

Code: 282N00000X

Type:

Classification:



Definition:



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