Individual
STEPHANIE L J BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
576 APOLLO DR, LINO LAKES, MN 55014-3004
(651) 486-2320
(651) 486-2321
Mailing address
8170 33RD AVE S, MS21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53364
MN
Other
Enumeration date
04/12/2007
Last updated
02/14/2022
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