Individual
DR. WENDELL L BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 GORDON GUTMANN BLVD STE 401, JEFFERSONVILLE, IN 47130-3768
(812) 282-0637
(812) 283-6330
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01056123A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01056123A
STATE ID #
IN
01
—
01056123B
CONTROLLED SUBSTANCE REG
IN
05
—
200360650
—
IN
05
—
64266612
—
KY
Enumeration date
09/13/2005
Last updated
03/05/2026
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