NPI | 1740218593 |
---|---|
Doing Business As | AURORA MEDICAL GROUP 20TH ST |
Entity Type | Organization |
Authorized Contact | JEFFREY W BAILET President 414-647-3047 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-06-29 |
Last Update Date | 2020-08-22 |