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Organization
AURORA BAY AREA MEDICAL GROUP LLC
Active
Organization
AURORA BAY AREA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAN NELSON (ASSISTANT TREASURER)
(414) 299-1610
Entity
Organization
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143
(715) 735-1737
(715) 735-1794
Mailing address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-8016
(715) 732-8208
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/22/2015
Last updated
12/14/2020
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