Organization
AURORA BAY AREA MEDICAL GROUP, LLC
Active
Organization
AURORA BAY AREA MEDICAL GROUP, LLC
Active
Other names
Aurora Marinette Menominee Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY W LINEBERRY M.D. (BOARD CHAIRMAN)
(920) 288-8612
Entity
Organization
Contact information
Practice address
3130 SHORE DR, MARINETTE, WI 54143-4291
(715) 735-7421
Mailing address
3100 SHORE DR, MARINETTE, WI 54143-4242
(715) 735-1794
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295122729
—
WI
Enumeration date
02/02/2016
Last updated
02/02/2016
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