Individual
CHERYL L BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 S VANBUREN ST, SUITE 101, GREEN BAY, WI 54301-3504
(920) 433-3420
(920) 338-6859
Mailing address
910 E 26TH ST, STE 200, MINNEAPOLIS, MN 55404-4526
(612) 884-6300
(612) 884-6363
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
71627-20
WI
207VG0400X
Gynecology Physician
38956
MN
207VX0201X
Gynecologic Oncology Physician
38956
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0703779
MEDICA
MN
01
—
1011264
PREFERRED ONE
MN
01
—
115880
UCARE MN
MN
01
—
16A76BA
BCBS MN
MN
01
—
26356
AMERICA'S PPO NUMBER
MN
05
—
32217400
—
WI
05
—
404933100
—
MD
05
—
497319400
—
MN
01
—
HP19336
HEALTHPARTNERS
MN
Enumeration date
03/09/2006
Last updated
08/15/2019
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