Individual
DR. RICHARD H BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
1655 N 44TH AVE, WAUSAU, WI 54401-9771
(715) 741-0122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47231
WI
207R00000X
Internal Medicine Physician
47231-200
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34571800
—
WI
Enumeration date
06/07/2006
Last updated
07/22/2021
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