AURORA MEDICAL GROUP INC. NPI 1477693984

NPI Information

AURORA MEDICAL GROUP, INC. is a durable medical equipment medical supplies in Green Bay, WI. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. AURORA MEDICAL GROUP, INC. NPI is 1477693984. The provider is registered as an organization entity type.

The provider's business location address is:

2253 W MASON ST
SUITE 200
GREEN BAY, WI
ZIP 54303-706
Phone: (920) 327-7300

The provider's authorized official is Jeffrey Bailet .
The authorized official title is President and has the following contact phone number (414) 647-6322.

The CLIA number assigned to this NPI record is 52D0392180 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/7/2007 and was last updated on 2/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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