Organization
AURORA BAY AREA MEDICAL GROUP, LLC
Active
Other names
Aurora Health Center
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
603 FRENCH ST, PESHTIGO, WI 54157-1207
(715) 582-3622
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
01/07/2016
Last updated
01/07/2016
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