Organization
AURORA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W. BAILET MD (PRESIDENT)
(414) 647-6322
Entity
Organization
Contact information
Practice address
2801 W KK RIVER PKWY, STE 525, MILWAUKEE, WI 53215-3669
(414) 649-7900
Mailing address
2801 W. KK RIVER PKWY, STE 525, MILWAUKEE, WI 53215-3669
(414) 649-7900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32751200
—
WI
Enumeration date
02/04/2009
Last updated
02/04/2009
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