Organization
AURORA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W BAILET (PRESIDENT)
(414) 647-6322
Entity
Organization
Contact information
Practice address
900 E DIVISION ST, WAUTOMA, WI 54982-6944
(920) 787-6900
Mailing address
3000 W MONTANA ST, MILWAUKEE, WI 53215-3628
(414) 647-6322
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
02/19/2008
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