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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 : 1235147034
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA MEDICAL GROUP, INC.
Provider Business Mailing Address
First Line : 5595 COUNTY ROAD Z
Second Line :
City : WEST BEND
State : WI
Zip : 53095-9224
Country : US
Telephone Number : 262-338-5300
Fax Number :
Provider Business Practice Location Address
First Line : 5595 COUNTY ROAD Z
Second Line :
City : WEST BEND
State : WI
Zip : 53095-9224
Country : US
Telephone Number : 262-338-5300
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JEFFREY W BAILET
Credential : MD
Telephone Number : 414-647-3047
Provider Enumeration Date : 08/04/2006
Last Update Date : 08/22/2020

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