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NPI Code Detail

MEDICARE: AURORA HEALTH CARE

MEDICARE: AURORA HEALTH CARE
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
1367H00000XAnesthesiologist Assistant73-17WI

General Provider Information

NPI Number : 1558729277
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA HEALTH CARE
Provider Business Mailing Address
First Line : 4025 N 92ND ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53222-1613
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4025 N 92ND ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53222-1613
Country : US
Telephone Number : 414-358-5443
Fax Number :
Authorized Official
Title or Position : ANESTHESIOLOGIST ASSISTANT
Name : MS. ALEXA ANDERSON
Credential : AA, MPH
Telephone Number : 425-652-7234
Provider Enumeration Date : 02/09/2016
Last Update Date : 02/09/2016

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Directions to “AURORA HEALTH CARE ” Practice Location

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