| Organization Name: | AURORA MEDICAL GROUP, INC. |
| NPI Number: | 1073731618 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFREY BAILET (PRESIDENT) |
| Mailing Address: | 2307 S. Business Drive Sheboygan |
| State: | WI US |
| Postal Code: | 53082 |
| Phone Number: | 9204591134 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2007 |
| NPI Last Update Date: | 03/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |