Doctor Name: | MR. MATTHEW S. BAY |
NPI Number: | 1033359401 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A. |
License Number: | 2387-23 |
Business Practice Address: | 1818 N. Meade St Suite 240 West Fox Valley Surgical Associates Appleton, WI - 549113496 |
Business Phone Number: | 9207318289 |
Business Fax Number: | 9208320444 |
Mailing Address: | 1818 N. Meade St Suite 240 West, Fox Valley Surgical Associates APPLETON |
State: | WI |
Postal Code: | 549113496 |
Phone Number: | 9207318289 |
Fax Number: | 9208320444 |
NPI Enumeration Date: | 02/25/2009 |
NPI Last Update Date: | 04/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 2387-23 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |