MEDICARE: BAY AREA MEDICAL CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	155	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396015194
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY AREA MEDICAL CENTER, INC

Provider Business Mailing Address
First Line	:	3100 SHORE DR
Second Line	:
City	:	MARINETTE
State	:	WI
Zip	:	54143-4242
Country	:	US
Telephone Number	:	715-735-1721
Fax Number	:	715-735-1794

Provider Business Practice Location Address
First Line	:	3130 SHORE DR
Second Line	:	SUITE 020
City	:	MARINETTE
State	:	WI
Zip	:	54143-4291
Country	:	US
Telephone Number	:	715-735-8064
Fax Number	:	715-735-8065

Authorized Official
Title or Position	:	CLINIC BUSINESS SERVICES MANAGER
Name	:	DAWN M LAPLANT
Credential	:
Telephone Number	:	715-735-1722

Provider Enumeration Date	:	01/10/2012
Last Update Date	:	01/10/2012

Similar Medicare Providers

1841294345 — ADAM MEHMET GULHAN MD
Practice Location Address:

3130 SHORE DR STE 111 , BAY AREA NEUROLOGY CONSULTATNTS
MARINETTE, WI
54143-4291

Practice Phone: 715-732-8212
Practice Fax:

1417992959 — BAYCARE CLINIC LLP
Practice Location Address:

3130 SHORE DR , STE 109
MARINETTE, WI
54143-4291

Practice Phone: 715-735-9494
Practice Fax:

1922113166 — DR. GIAN C DAROACH MD
Practice Location Address:

3130 SHORE DR
MARINETTE, WI
54143-4291

Practice Phone: 715-735-7421
Practice Fax: 715-735-4601

1366586380 — NOLA M HARDY RD
Practice Location Address:

3130 SHORE DR
MARINETTE, WI
54143-4291

Practice Phone: 715-735-7421
Practice Fax:

1174657050 — MARK T HILLESHEIM PT
Practice Location Address:

3130 SHORE DR
MARINETTE, WI
54143-4291

Practice Phone: 715-735-4609
Practice Fax:

1073884839 — BAY AREA MEDICAL CENTER, INC
Practice Location Address:

3130 SHORE DR , SUITE 111
MARINETTE, WI
54143-4291

Practice Phone: 715-732-8212
Practice Fax: 715-732-8213

Directions to “BAY AREA MEDICAL CENTER, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.