Healthcare Provider Details

I. General information

NPI: 1073739926
Provider Name (Legal Business Name): AURORA HEALTH CARE METRO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 W OKLAHOMA AVE.
MILWAUKEE WI
53215
US

IV. Provider business mailing address

2900 W OKLAHOMA AVE.
MILWAUKEE WI
53215
US

V. Phone/Fax

Practice location:
  • Phone: 414-649-6000
  • Fax:
Mailing address:
  • Phone: 414-649-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NAN NELSON
Title or Position: CFO
Credential:
Phone: 414-299-1610