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Aurora Bay Area Medical Group, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Marinette, WI

NPI 1407214794 · NPPES record last updated Feb 2, 2016

Key facts

NPI
1407214794
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
AURORA BAY AREA MEDICAL GROUP, LLC
Practice address
3130 Shore Dr
Marinette, WI 54143-4291
Phone
(715) 735-7421
NPI assigned
Feb 2, 2016
Organization subpart
No

Authorized official

Name
Timothy W Lineberry, M.D.
Title
Board Chairman
Phone
(920) 288-8612

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Aurora Bay Area Medical Group LLC (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

3130 Shore Dr
Marinette, WI 54143-4291

Mailing address

3100 Shore Dr
Marinette, WI 54143-4242

Other identifiers

IdentifierTypeStateIssuer
1295122729MedicaidWI

Other names

  • Aurora Marinette Menominee Clinic Doing business as

Other providers in Marinette, WI

All providers in Marinette, WI · Durable Medical Equipment & Medical Supplies in Wisconsin

Sources for this page

Verify at the official NPI Registry.