OrganizationActive
Baycare Clinic, LLP
NPI 1376129833 · Orthopaedic Surgery Physician · Manitowoc, WI
Provider details
- NPI number
- 1376129833
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicole Hettmann, Sr. Provider Credentialing Coord.(920) 490-9046
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neurological Surgery Physician207T00000X
Allopathic & Osteopathic Physicians
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
Suppliers
Practice location
1111 Bayshore Drive
Manitowoc, WI 54220
Phone: (920) 490-9046
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 28900
Green Bay, WI 54324-0900
Registry dates
- Enumerated
- 2021-03-23
- Last updated
- 2022-08-23
- Certified
- 2022-08-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.