Organization
AURORA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAN NELSON (TREASURER)
(414) 299-1610
Entity
Organization
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 102, MILWAUKEE, WI 53215-3660
(414) 646-8000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 389-1509
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0377550144
DME
WI
Enumeration date
06/04/2020
Last updated
06/10/2020
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