Aurora Medical Group, Inc. | |
N168w20060 Main St Jackson WI 53037-9382 | |
(262) 677-3661 | |
Not Available |
Full Name | Aurora Medical Group, Inc. |
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Speciality | Family Medicine |
Location | N168w20060 Main St, Jackson, Wisconsin |
Authorized Official Name and Position | Jeffrey W Bailet (PRESIDENT) |
Authorized Official Contact | 4143892377 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aurora Medical Group, Inc. N168w20060 Main St Jackson WI 53037-9382 Ph: (262) 677-3661 | Aurora Medical Group, Inc. N168w20060 Main St Jackson WI 53037-9382 Ph: (262) 677-3661 |
NPI Number | 1417171018 |
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Provider Enumeration Date | 04/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1417171018 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Jackson Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: W225n16711 Cedar Park Ct, Jackson, WI 53037 Phone: 262-677-1101 |