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
915 SUMMIT AVE, OCONOMOWOC, WI 53066-3921
(262) 569-2228
Mailing address
915 SUMMIT AVE, OCONOMOWOC, WI 53066-3921
(262) 569-2228
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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