Provider Demographics
NPI:1033359401
Name:BAY, MATTHEW S (PA)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:S
Last Name:BAY
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Gender:M
Credentials:PA
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Mailing Address - Street 1:1818 N. MEADE ST SUITE 240 WEST
Mailing Address - Street 2:FOX VALLEY SURGICAL ASSOCIATES
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911-3496
Mailing Address - Country:US
Mailing Address - Phone:920-731-8289
Mailing Address - Fax:920-832-0444
Practice Address - Street 1:1818 N. MEADE ST SUITE 240 WEST
Practice Address - Street 2:FOX VALLEY SURGICAL ASSOCIATES
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911-3496
Practice Address - Country:US
Practice Address - Phone:920-731-8289
Practice Address - Fax:920-832-0444
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2010-04-01
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Provider Licenses
StateLicense IDTaxonomies
WI2387-23363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical