Organization
AURORA MEDICAL GROUP, INC.
Active
Other names
Aurora Health Center Shawano
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY BAILET (PRESIDENT)
(414) 647-3047
Entity
Organization
Contact information
Practice address
1346 E GREEN BAY ST, SHAWANO, WI 54166-2210
(715) 526-6244
Mailing address
1346 E GREEN BAY ST, SHAWANO, WI 54166-2210
(715) 526-6244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/18/2007
Last updated
04/12/2010
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