| Aurora Medical Group, Inc. | |
|
3301 W Forest Home Ave Milwaukee WI 53215 | |
| (877) 576-3544 | |
| Not Available |
| Full Name | Aurora Medical Group, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3301 W Forest Home Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Nan Nelson (CFO) |
| Authorized Official Contact | 4142991610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Medical Group, Inc. 3301 W Forest Home Ave Milwaukee WI 53215 Ph: (877) 576-3544 | Aurora Medical Group, Inc. 3301 W Forest Home Ave Milwaukee WI 53215 Ph: (877) 576-3544 |
| NPI Number | 1659599157 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 06/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659599157 | NPI | - | NPPES |
| 32895600 | Medicaid | WI | |
| 42250600 | Medicaid | WI | |
| 000073975 | Other | WI | MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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