Plastic Surgery
BAYCARE CLINIC, LLP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1780100180 · enumerated 2017-08-17 · record updated 2026-08-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TAYLOR KONKLE, Payor Enrollment · (920) 301-1327
Addresses and phones
- Mailing address PO BOX 28900, GREEN BAY, WI, 54324-0900 (920) 490-9046 Fax (920) 405-8005 Google Maps Apple Maps OpenStreetMap
- Practice location 2605 DEVELOPMENT DR, GREEN BAY, WI, 54311-4240 (920) 288-8240 Fax (920) 857-1488 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X
- Plastic Surgery 208200000X · Primary
In this directory
Locations and evidence
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Practice location
GREEN BAY, WI, 543114240
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.