Provider Demographics
NPI:1083378533
Name:BAYCI SURGICAL ASSOCIATES PC
Entity Type:Organization
Organization Name:BAYCI SURGICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYCI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-892-4591
Mailing Address - Street 1:4 COLUMBUS AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-6472
Mailing Address - Country:US
Mailing Address - Phone:989-892-4591
Mailing Address - Fax:989-498-6142
Practice Address - Street 1:4 COLUMBUS AVE STE 250
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6472
Practice Address - Country:US
Practice Address - Phone:989-892-4591
Practice Address - Fax:989-498-6142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty