Organization
AURORA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W BAILET MD (PRESIDENT)
(414) 647-3047
Entity
Organization
Contact information
Practice address
1565 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
(920) 468-2400
Mailing address
1565 ALLOUEZ AVE, GREEN BAY, WI 54311-5639
(920) 468-2400
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
02/15/2008
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