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Organization
AURORA ADVANCED HEALTHCARE, INC.
Active
Organization
AURORA ADVANCED HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAN NELSON (CFO)
(414) 299-1610
Entity
Organization
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209
(414) 352-3100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
WI
207N00000X
Dermatology Physician
—
WI
207Q00000X
Family Medicine Physician
Primary
—
WI
207R00000X
Internal Medicine Physician
—
WI
207V00000X
Obstetrics & Gynecology Physician
—
WI
207W00000X
Ophthalmology Physician
—
WI
207X00000X
Orthopaedic Surgery Physician
—
WI
207Y00000X
Otolaryngology Physician
—
WI
208000000X
Pediatrics Physician
—
WI
208600000X
Surgery Physician
—
WI
208800000X
Urology Physician
—
WI
261QM1300X
Multi-Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21319500
—
WI
01
—
41570800
MEDICAID - MEDICAL SUPPLY / VENDOR
WI
Enumeration date
09/25/2007
Last updated
10/03/2025
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