Organization
AURORA MEDICAL GROUP, INC
Active
Organization
AURORA MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (ASSISTANT TREASURER)
(704) 631-0450
Entity
Organization
Contact information
Practice address
3509 DEWEY AVE, MANITOWOC, WI 54220-5813
(920) 686-5731
Mailing address
3509 DEWEY ST, MANITOWOC, WI 54220-5813
(920) 686-5731
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0377550140
NATIONAL SUPPLIER CLEARINGHOUSE
WI
Enumeration date
08/09/2018
Last updated
10/16/2025
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