| Aurora Medical Group 20th St | |
|
2906 S 20th St Milwaukee WI 53215-3732 | |
| (414) 385-8800 | |
| Not Available |
| Full Name | Aurora Medical Group 20th St |
|---|---|
| Speciality | Family Medicine |
| Location | 2906 S 20th St, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Jeffrey W Bailet (PRESIDENT) |
| Authorized Official Contact | 4146473047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Medical Group 20th St 2906 S 20th St Milwaukee WI 53215-3732 Ph: (414) 385-8800 | Aurora Medical Group 20th St 2906 S 20th St Milwaukee WI 53215-3732 Ph: (414) 385-8800 |
| NPI Number | 1740218593 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740218593 | NPI | - | NPPES |
| 32762100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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