Organization
AURORA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BALIET (PRESIDENT)
(414) 647-6322
Entity
Organization
Contact information
Practice address
9200 W LOOMIS RD, SUITE 104, FRANKLIN, WI 53132-8887
(414) 529-9349
Mailing address
9200 W LOOMIS RD, SUITE 104, FRANKLIN, WI 53132-8887
(414) 529-9349
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
02/15/2008
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