| Aurora Medical Group, Inc. | |
|
2307 S. Business Drive Sheboygan WI 53082 | |
| (920) 459-1134 | |
| Not Available |
| Full Name | Aurora Medical Group, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2307 S. Business Drive, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Jeffrey Bailet (PRESIDENT) |
| Authorized Official Contact | 4146476322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Medical Group, Inc. 2307 S. Business Drive Sheboygan WI 53082 Ph: (920) 459-1134 | Aurora Medical Group, Inc. 2307 S. Business Drive Sheboygan WI 53082 Ph: (920) 459-1134 |
| NPI Number | 1073731618 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073731618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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