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
1020 35TH ST, STE 100, KENOSHA, WI 53140-1932
(262) 652-3500
Mailing address
1020 35TH ST, STE 100, KENOSHA, WI 53140-1932
(262) 652-3500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/18/2010
Last updated
12/22/2010
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