Organization
AURORA MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL LEIGH HANSON (CFO)
(414) 299-1623
Entity
Organization
Contact information
Practice address
525 KENOSHA ST, STE A, WALWORTH, WI 53184-9512
(262) 275-2101
Mailing address
525 KENOSHA ST, STE A, WALWORTH, WI 53184-9512
(262) 275-2101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
11/14/2017
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