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NPI Code Detail

MEDICARE: AURORA MEDICAL GROUP

MEDICARE: AURORA MEDICAL GROUP
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
1146D00000XPersonal Emergency Response Attendant337023WI

General Provider Information

NPI Number : 1780091850
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA MEDICAL GROUP
Provider Business Mailing Address
First Line : 2629 N 7TH ST
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53083-4932
Country : US
Telephone Number : 920-451-5000
Fax Number :
Provider Business Practice Location Address
First Line : 2629 N 7TH ST
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53083-4932
Country : US
Telephone Number : 920-451-5000
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. ROMMEL BOTE
Credential : M.D.
Telephone Number : 262-497-0778
Provider Enumeration Date : 07/21/2014
Last Update Date : 07/21/2014

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