# AURORA MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972212587
- **Authorized official:** NAN NELSON (EVP FINANCIAL OPS)
- **Authorized official phone:** (414) 299-1610

## Contact information

- **Practice address:** 95 N MOORLAND RD STE E9, BROOKFIELD, WI 53005-6021
- **Practice address phone:** (888) 663-6331
- **Mailing address:** 3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
- **Mailing address phone:** (877) 576-3544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 11/22/2022
- **Last updated:** 11/22/2022