| Organization Name: | AURORA MEDICAL GROUP INC |
| NPI Number: | 1053511410 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFERY BAILET (PRESIDENT) |
| Mailing Address: | 2414 Kohler Memorial Dr Sheboygan |
| State: | WI US |
| Postal Code: | 530813129 |
| Phone Number: | 9204591173 |
| Fax Number: | 9204591175 |
| NPI Enumeration Date: | 07/23/2007 |
| NPI Last Update Date: | 09/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BD1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Dialysis Equipment & Supplies |
| Taxonomy Definition: | |