| NPI | 1316147770 |
|---|---|
| Doing Business As | AURORA MEDICAL GROUP OSHKOSH WEST DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | JEFFERY BAILET President 414-647-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2010-09-22 |