Organization
AURORA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BAILET (PRESIDENT)
(414) 647-6326
Entity
Organization
Contact information
Practice address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-4051
Mailing address
5900 S LAKE DR, CUDAHY, WI 53110-3171
(414) 489-4051
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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