Organization
AURORA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BAILET (PRESIDENT)
(414) 647-6322
Entity
Organization
Contact information
Practice address
2307 S. BUSINESS DRIVE, SHEBOYGAN, WI 53082
(920) 459-1134
Mailing address
2307 S. BUSINESS DRIVE, SHEBOYGAN, WI 53082
(920) 459-1134
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
03/24/2008
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