Organization
AURORA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BAILET (PRESIDENT)
(414) 647-6322
Entity
Organization
Contact information
Practice address
600 WALNUT RIDGE DR, HARTLAND, WI 53029-9385
(262) 369-7040
Mailing address
600 WALNUT RIDGE DR, HARTLAND, WI 53029-9385
(262) 369-7040
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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