Organization
AURORA ADVANCED HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE W. MONROE MD (PRESIDENT)
(414) 352-3100
Entity
Organization
Contact information
Practice address
1055 N MAYFAIR RD, WAUWATOSA, WI 53226-3436
(414) 778-4300
(414) 778-4341
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
21799020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41570800
—
WI
Enumeration date
01/22/2010
Last updated
03/30/2010
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