Organization
AURORA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W BAILET MD (PRESIDENT)
(414) 647-3047
Entity
Organization
Contact information
Practice address
8348 WASHINGTON AVE, RACINE, WI 53406-3733
(262) 884-4000
Mailing address
PO BOX 341457, MILWAUKEE, WI 53234-1457
(262) 884-4000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
02/05/2009
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