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NPI Code Detail

MEDICARE: AURORA MEDICAL GROUP, INC.

MEDICARE: AURORA MEDICAL GROUP, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1063569267
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA MEDICAL GROUP, INC.
Provider Business Mailing Address
First Line : 3000 W MONTANA ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3628
Country : US
Telephone Number : 414-647-6322
Fax Number :
Provider Business Practice Location Address
First Line : 900 E DIVISION ST
Second Line :
City : WAUTOMA
State : WI
Zip : 54982-6944
Country : US
Telephone Number : 920-787-6900
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JEFFREY W BAILET
Credential :
Telephone Number : 414-647-6322
Provider Enumeration Date : 01/03/2007
Last Update Date : 02/19/2008

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Directions to “AURORA MEDICAL GROUP, INC. ” Practice Location

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