NPI | 1477600849 |
---|---|
Doing Business As | AURORA MEDICAL GROUP BROWN COUNTY 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 | 2007-01-05 |
Last Update Date | 2010-09-22 |