Organization
AURORA HEALTH CARE VENTURES INC.
Active
Other names
Aurora Vision Center - Hartland
Organization subpart
No
Provider details
NPI number
Authorized official
MARY R PANTEL (BILLING SUPERVISOR)
(920) 803-3266
Entity
Organization
Contact information
Practice address
600 WALNUT RIDGE DR, SUITE 216, HARTLAND, WI 53029-9385
(262) 369-6925
(262) 369-6922
Mailing address
600 WALNUT RIDGE DR, SUITE 216, HARTLAND, WI 53029-9385
(262) 369-6925
(262) 369-6922
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38461600
—
WI
Enumeration date
09/07/2008
Last updated
04/11/2011
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