Organization
AURORA HEALTH CARE VENTURES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PANTEL (BILLING SUPERVISOR)
(920) 803-3266
Entity
Organization
Contact information
Practice address
1001 SERVICE RD, KIEL, WI 53042-1295
(920) 894-1025
(920) 894-1026
Mailing address
1001 SERVICE RD, KIEL, WI 53042-1295
(920) 894-1025
(920) 894-1026
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38457300
—
WI
Enumeration date
07/21/2006
Last updated
04/17/2008
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