Organization
AURORA MEDICAL GROUP, INC.
Active
Other names
Aurora Medical Group 20th St
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W BAILET MD (PRESIDENT)
(414) 647-3047
Entity
Organization
Contact information
Practice address
2906 S 20TH ST, MILWAUKEE, WI 53215-3732
(414) 385-8800
Mailing address
2906 S 20TH ST, MILWAUKEE, WI 53215-3732
(414) 385-8800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32762100
—
WI
Enumeration date
06/29/2006
Last updated
08/22/2020
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