Organization · Type 2 NPI

Aurora Medical Group Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Lake Geneva, WI

NPI number 1336296300 Active

Practice location

146 E Geneva Sq
Lake Geneva, WI 53147-9694

Call (262) 249-5040 Map

Fax (262) 249-7146

Mailing address

5200 Virginia Way, 4th Floor L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed
Dialysis Equipment & Supplies (DME) 332BD1200XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1336296300

Aurora Medical Group Inc's National Provider Identifier is 1336296300, issued on Jan 4, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Lake Geneva, WI. The record was last updated on Sep 22, 2010.