Healthcare Provider Details

I. General information

NPI: 1740458520
Provider Name (Legal Business Name): AURORA HEALTH CARE METRO, INC,
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 04/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 W OKLAHOMA AVE SUITE 1002
MILWAUKEE WI
53215-4330
US

IV. Provider business mailing address

2900 W OKLAHOMA AVE SUITE 1002
MILWAUKEE WI
53215-4330
US

V. Phone/Fax

Practice location:
  • Phone: 414-649-5925
  • Fax: 414-649-5941
Mailing address:
  • Phone: 414-649-5925
  • Fax: 414-649-5941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JOANNE A THEDE
Title or Position: PATIENT FINANCIAL SERVICES MANAGER
Credential:
Phone: 920-803-3263