Organization
GARY W BAILEY DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WILLIS BAILEY (PHYSICIAN/OWNER)
(616) 957-2410
Entity
Organization
Contact information
Practice address
2525 BURTON ST SE, GRAND RAPIDS, MI 49546
(616) 957-2410
(616) 957-2411
Mailing address
2525 BURTON ST SE, GRAND RAPIDS, MI 49546-4834
(616) 957-2410
(616) 957-2411
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101007477
MI
Other
Enumeration date
10/18/2007
Last updated
06/19/2018
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