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Organization

AURORA MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY BALIET (PRESIDENT)
(414) 647-6322
Entity
Organization

Contact information

Practice address
2521 S BAY SHORE DR, SISTER BAY, WI 54234-9158
(920) 854-2347
Mailing address
2521 S BAY SHORE DR, SISTER BAY, WI 54234-9158
(920) 854-2347

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/13/2007
Last updated
04/13/2009
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