Healthcare Provider Details

I. General information

NPI: 1558386284
Provider Name (Legal Business Name): AURORA HEALTH CARE METRO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 02/09/2025
Certification Date: 02/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 N 12TH ST
MILWAUKEE WI
53233-1305
US

IV. Provider business mailing address

945 N 12TH ST
MILWAUKEE WI
53233-1305
US

V. Phone/Fax

Practice location:
  • Phone: 414-219-3100
  • Fax: 414-219-3708
Mailing address:
  • Phone: 414-219-3100
  • Fax: 414-219-3708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number8901
License Number StateWI

VIII. Authorized Official

Name: KARA RICHARDSON
Title or Position: VP MANAGED HEEALTH
Credential:
Phone: 704-631-0450