# AURORA MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aurora Sheboygan Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174670244
- **Authorized official:** JEFFREY W BAILET (PRESIDENT)
- **Authorized official phone:** (414) 647-6322

## Contact information

- **Practice address:** 2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
- **Practice address phone:** (920) 457-4461
- **Mailing address:** 2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
- **Mailing address phone:** (920) 457-4461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 08/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 32718000 | — | WI |
| 05 | — | 42193100 | — | WI |