AURORA MEDICAL GROUP INC
Dialysis Equipment and Supplies
Green Bay, Wisconsin
Provider NPI: 1477600849
Organization Information:Organization Name: AURORA MEDICAL GROUP INC
Practice Location:
1751 DECKNER AVE GREEN BAY, WI 54302 US
Tel: 920-465-0430 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1751 DECKNER AVE GREEN BAY, WI 54302 US
Tel: 920-465-0430 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BD1200X | Suppliers Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | ||
Y | 261QE0700X | Ambulatory Health Care Facilities Clinic/Center |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1477600849 | WI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin