Organization
AURORA MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W BAILET MD (PRESIDENT)
(414) 647-3047
Entity
Organization
Contact information
Practice address
4061 OLD PESHTIGO RD, MARINETTE, WI 54143-3887
(715) 732-8000
Mailing address
3000 W MONTANA ST, MILWAUKEE, WI 53215-3628
(414) 647-3047
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/19/2006
Last updated
04/04/2013
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