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NPI Code Detail

MEDICARE: AURORA ADVANCED HEALTHCARE INC.

MEDICARE: AURORA ADVANCED HEALTHCARE 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 SuppliesWI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619108537
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA ADVANCED HEALTHCARE INC.
Provider Business Mailing Address
First Line : 3003 W GOOD HOPE RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53209-2042
Country : US
Telephone Number : 414-352-3100
Fax Number :
Provider Business Practice Location Address
First Line : 1475 W GRAND AVE
Second Line :
City : PORT WASHINGTON
State : WI
Zip : 53074-2074
Country : US
Telephone Number : 262-268-5100
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EUGENE W. MONROE
Credential : M.D.
Telephone Number : 414-352-3100
Provider Enumeration Date : 07/28/2009
Last Update Date : 10/20/2009

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