OrganizationActive
Baycare Clinic, LLP
NPI 1053883256 · Neurological Surgery Physician · Iron Mountain, MI
Provider details
- NPI number
- 1053883256
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicole Hettmann, Provider Credentialing Coordinator(920) 490-9046
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1711 S Stephenson Ave
Iron Mountain, MI 49801-3639
Phone: (877) 229-2273
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 28900
Green Bay, WI 54324-0900
Registry dates
- Enumerated
- 2018-12-28
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.