Organization
AURORA BAY AREA MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAN NELSON (ASSISTANT TREASURER)
(414) 299-1610
Entity
Organization
Contact information
Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143
(715) 735-1737
(715) 735-1794
Mailing address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-8016
(715) 732-8208
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208M00000X
Hospitalist Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/22/2015
Last updated
12/14/2020
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