Organization
AURORA MEDICAL GROUP INC
Active
Other names
Oshkosh Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY W BAILET (PRESIDENT)
(414) 647-6322
Entity
Organization
Contact information
Practice address
712 DOCTORS CT, OSHKOSH, WI 54901-2029
(920) 303-8700
Mailing address
712 DOCTORS CT, OSHKOSH, WI 54901-2029
(920) 233-9920
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
Other
Enumeration date
01/03/2007
Last updated
08/16/2007
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