OrganizationActive
Baycare Clinic, LLP
NPI 1366953523 · Neurological Surgery Physician · Kaukauna, WI
Provider details
- NPI number
- 1366953523
- 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
2700 Crooks Ave
Kaukauna, WI 54130-3900
Phone: (920) 288-8350
Fax: (920) 288-8355
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 28900
Green Bay, WI 54324-0900
Registry dates
- Enumerated
- 2017-10-16
- Last updated
- 2022-04-13
- Certified
- 2022-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.