Individual
BEAU RICHARD BAILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 QUARTER ST, GLADWIN, MI 48624-1941
(989) 246-6272
(989) 246-9466
Mailing address
609 QUARTER ST, GLADWIN, MI 48624-1941
(989) 246-6272
(989) 246-9466
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
550107695
MI
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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